Provider Demographics
NPI:1871019380
Name:SIMS, RICHELLE R (CSW)
Entity type:Individual
Prefix:
First Name:RICHELLE
Middle Name:R
Last Name:SIMS
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5321 EBONY PL
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SD
Mailing Address - Zip Code:57769-7206
Mailing Address - Country:US
Mailing Address - Phone:605-923-8380
Mailing Address - Fax:
Practice Address - Street 1:5321 EBONY PL
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:SD
Practice Address - Zip Code:57769-7206
Practice Address - Country:US
Practice Address - Phone:605-923-8380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-16
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD51931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical