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Contact Information

JACK RICHEY, LCSW
311 W.FAIRCHILD STREET
PSYCHIATRY/PSYCHOLOGY
DANVILLE, IL61832
 Phone: 217-431-7898
 Fax: 217-431-7634
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JACK RICHEY · (Male)

NPI Number 1225121510
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/01/2006
Last updated 05/12/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 149004431
  • Other 0533210001 DMERC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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