Dr Samuel Richardson Iii, DCC, LCPC, CTC is a
Behavior Analyst based in Cheraw, South Carolina. Dr Samuel Richardson Iii is licensed to practice in Florida (license number 15461) and his current practice location is
92 Chestnut St, Cheraw, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 337-1979.
NPI number for Dr Samuel Richardson Iii is 1437403326 and his current mailing address is 9 Church St, Cheraw, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437403326.
Healthcare Provider's Profile
| Full Name | Dr Samuel Richardson Iii |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 92 Chestnut St, Cheraw, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1437403326
- Provider Enumeration Date: 10/31/2012
- Last Update Date: 10/12/2021
Medical Identifiers
Medical identifiers for Dr Samuel Richardson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437403326 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 15461 (Delaware) | Secondary |
| 101YM0800X | Counselor - Mental Health | 15461 (Florida) | Secondary |
| 101YP1600X | Counselor - Pastoral | 15461 (Delaware) | Secondary |
| 101YP1600X | Counselor - Pastoral | 15461 (Florida) | Secondary |
| 106H00000X | Marriage & Family Therapist | 15461 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | 15461 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel Richardson Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Samuel Richardson Iii, DCC, LCPC, CTC
9 Church St,
Cheraw, SC 29520-2707
Ph: (843) 337-1979 | Dr Samuel Richardson Iii, DCC, LCPC, CTC
92 Chestnut St,
Cheraw, SC 29520-3414
Ph: (843) 337-1979 |
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