Provider Demographics
NPI:1538256912
Name:POUNDS, RICHARD L (LCSW)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:L
Last Name:POUNDS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 WEST 56TH ST
Mailing Address - Street 2:STE 18J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-956-5859
Mailing Address - Fax:212-757-2619
Practice Address - Street 1:211 WEST 56TH ST
Practice Address - Street 2:STE 18J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-956-5859
Practice Address - Fax:212-757-2619
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR01885811041C0700X
NJ44SC012914001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01446120Medicaid
NY01446120Medicaid