Provider Demographics
NPI:1609183672
Name:RICHMAN, TERESA D (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:D
Last Name:RICHMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1692 MANGROVE AVE
Mailing Address - Street 2:PMB 136
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2648
Mailing Address - Country:US
Mailing Address - Phone:530-592-6939
Mailing Address - Fax:530-231-6380
Practice Address - Street 1:341 BROADWAY ST STE 223
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5355
Practice Address - Country:US
Practice Address - Phone:530-433-9745
Practice Address - Fax:530-231-6380
Is Sole Proprietor?:No
Enumeration Date:2010-09-10
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW85841104100000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty