Provider Demographics
NPI:1649246901
Name:RICHARDSON, KAREN ELIZABETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ELIZABETH
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:ELIZABETH
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:124 N COURT ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-6614
Mailing Address - Country:US
Mailing Address - Phone:301-304-7108
Mailing Address - Fax:
Practice Address - Street 1:3534 URBANA PIKE STE C
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-7786
Practice Address - Country:US
Practice Address - Phone:301-304-7108
Practice Address - Fax:301-732-7336
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040052011041C0700X
MD186071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA087375MOtherSENTARA
VA4945263Medicaid
VI2182277OtherCIGNA
VA587734000OtherMAGELLAN
VA7393538OtherAETNA
VA245512OtherANTHEM
VA250241OtherMAMSI/UNITED HEALTHCARE
VA7393538OtherAETNA