| Kimberley Richardson, LLC | |
|
347 Saint Paul St Apt 3 Brookline MA 02446-3609 | |
| (617) 276-5625 | |
| Not Available |
| Full Name | Kimberley Richardson, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 347 Saint Paul St Apt 3, Brookline, Massachusetts |
| Authorized Official Name and Position | Kimberley Richardson (OWNER) |
| Authorized Official Contact | 6172765625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberley Richardson, LLC 573 Washington St Apt 9 Brookline MA 02446-4586 Ph: (617) 276-5625 | Kimberley Richardson, LLC 347 Saint Paul St Apt 3 Brookline MA 02446-3609 Ph: (617) 276-5625 |
| NPI Number | 1992667265 |
|---|---|
| Provider Enumeration Date | 11/25/2025 |
| Last Update Date | 09/25/2026 |
| Certification Date | 09/25/2026 |
| Medicare PECOS PAC ID | 7214415090 |
|---|---|
| Medicare Enrollment ID | O20260203000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992667265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Kimberley Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225687817 PECOS PAC ID: 8123506904 Enrollment ID: I20260203000154 |
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