Richardson, Carly

Richardson, Carly is an individual health care provider with primary practice located at 333 Irving Ave , Bridgeton NJ 08302-2123. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Richardson, Carly can be contacted via phone (856) 575-4596.

Contact Information

Primary practice address
333 Irving Ave Bridgeton NJ 08302-2123
Phone: (856) 575-4596
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 44SL06104700 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05910500 New Jersey

Profile Details

NPI number 1669832986
LBN Legal business name Richardson, Carly
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2016
Last updated Apr 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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