WILLIE RICHARDSON (NPI# 1942772181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942772181 |
| Entity Type | Individual |
| Full Name | WILLIE RICHARDSON |
| Practice Address |
3739 Mayfield Rd Apt 101 Cleveland Heights OH 44121-1751 |
| Practice Telephone | 2163866415 |
| Mailing Telephone | 2163866415 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609347137 | Willie D Richardson Sr. | Home Health | 8316 Macon Ter Ste 102, Cordova, TN 38018-8505 | 2018-12-10 |
| 1043328230 | Willie Forrest Richardson Jr. | Dermatology | 1120 Bayview Dr, Fort Lauderdale, FL 33304-2505 | 2006-08-28 |
| 1821424110 | Willie J Richardson | Dentist | 5418 Park Heights Ave, Baltimore, MD 21215-4645 | 2013-09-19 |
| Street Address |
3739 MAYFIELD RD APT 101 |
| City | CLEVELAND HEIGHTS |
| State | OH |
| Zip Code | 44121-1751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396213443 | Khrystyne Hill | Home Health Aide | 1396 Villa Dr, South Euclid, OH 44121 | 2018-11-07 |
| 1700369329 | An Angels Touch | Case Manager/Care Coordinator | 4673 Liberty Road, South Euclid, OH 44121 | 2018-09-10 |
| 1336654169 | Dawn Marniece Burns | Counselor | 2490 Noble Rd Ste 101, Cleveland Heights, OH 44121 | 2017-12-01 |
| 1154830610 | Kamry Wilson | Massage Therapist | 1915 Temblethurst Rd, South Euclid, OH 44121 | 2017-09-27 |
| 1891210027 | Tyrone Sykes | Counselor | 2940 Noble Rd, Cleveland Hts, OH 44121 | 2017-08-09 |
| 1083140412 | Cortney Casey | Licensed Practical Nurse | 3430 Monticello Blvd, Cleveland Heights, OH 44121 | 2017-05-04 |
| 1821523374 | Sharmila Noles | Licensed Practical Nurse | 818 South Green Rd, 5, South Euclid, OH 44121 | 2017-04-21 |
| 1679018725 | Safe Haven Residential Services | In Home Supportive Care | 2515 Belvoir Rd, Cleveland, OH 44121 | 2016-12-28 |
| 1447702154 | Jerry C Mallory Jr. | Military Health Care Provider | 4018 Bayard 44121, Apo, AA 44121 | 2016-10-28 |
| 1215388129 | Rose-mary, The Johanna Grasselli Rehabilitation and Education Center | Intermediate Care Facility, Mentally Retarded | 4383 Ammon Road, South Euclid, OH 44121 | 2016-06-22 |
| Find all providers in zip 44121 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922647932 | Sherdena Dixon-wilson | Counselor | 1012 Pembrook Rd, Cleveland Heights, OH 44121-1404 | 2019-12-23 |
| 1508325937 | Mark Sickora Jr. | Counselor | 2490 Lee Blvd Ste 200, Cleveland Heights, OH 44118-1269 | 2019-03-15 |
| 1457857435 | Sheila G Carlisle | Counselor | 13394 Cedar Rd, Cleveland Heights, OH 44118-2955 | 2018-03-30 |
| 1811403801 | Evelyn Lynette Bailey | Counselor | Jordan Community Residential Center, 2231 North Taylor Rd, Cleveland Heights, OH 44112 | 2017-12-28 |
| 1336654169 | Dawn Marniece Burns | Counselor | 2490 Noble Rd Ste 101, Cleveland Heights, OH 44121 | 2017-12-01 |
| 1790020857 | Billie J Gilliam-frierson | Counselor | 3166 E Derbyshire Rd, Cleveland Heights, OH 44118-2757 | 2012-11-30 |
| 1073604922 | Robert Allan Mitchell | Counselor | 2995 E Overlook Rd, Cleveland Heights, OH 44118-2435 | 2006-09-27 |
| 1376176180 | Shayla Clark | Counselor | 2231 N Taylor Rd, Cleveland Heights, OH 44112-3044 | 2020-02-20 |
| 1053942722 | Sandra Miller | Counselor | 2231 N Taylor Rd, Cleveland Heights, OH 44112-3044 | 2020-01-30 |
| 1447819792 | Michaelle Patterson | Counselor | 2490 Lee Blvd Ste 103, Cleveland Heights, OH 44118-1255 | 2019-06-11 |
| Find all providers in CLEVELAND HEIGHTS | ||||
| City | CLEVELAND HEIGHTS |
| Zip Code | 44121 |
Please comment or provide details below to improve the information on WILLIE RICHARDSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.