Provider Demographics
NPI:1548634801
Name:WILLIAMS, RICHARD CHARLES (LCSW)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:CHARLES
Last Name:WILLIAMS
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 1:9382 PIKE WAY
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80007-8205
Mailing Address - Country:US
Mailing Address - Phone:303-886-1309
Mailing Address - Fax:303-449-6029
Practice Address - Street 1:9382 PIKE WAY
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80007-8205
Practice Address - Country:US
Practice Address - Phone:720-204-8539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-23
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001542101YA0400X
CO099239001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0001542OtherDORA LAC
CO09923900OtherDORA LCSW