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45D0960669 CLIA NUMBER - JONATHAN RICHARD MD

Laboratory Demographics

CLIA Number: 45D0960669

Facility Name: JONATHAN RICHARD MD

Facility Address:
5009 THOMPSON TERRACE #102
COLLEYVILLE, TX
ZIP 76034
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Facility Phone Number: 817 581-6800

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1376088922

Taxonomy: 1041C0700X - Social Worker
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

CLIA Record

Field Name Field Value
CLIA Number 45D0960669
LAB Type Physician Office
Facility Name JONATHAN RICHARD MD
Street 5009 THOMPSON TERRACE #102
City COLLEYVILLE
State TX
ZIP 76034
Phone 817 581-6800
CertificateType 3
CertificateEffectiveDate 5/18/2023
CertificateExpirationDate 5/17/2025
FacilityType PPMP

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This page was last updated on: 4/23/2024