Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Reginald Charles Richardson Sr., PHD

Individual provider Clinical Social Worker · NPI 1508904962

Dr. Reginald Charles Richardson Sr., PHD is a Clinical Social Worker in Evanston, Illinois. Qualified in 1985, 41 years ago. Practices with Tides Mental Health of Il, PLLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
41
Licensed in
IL
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

618 Library Pl
Evanston, IL 60201-2908
Phone: (847) 733-4300
Fax: (847) 733-0390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (IL)

Record details

NPI number1508904962
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Tides Mental Health Of Il, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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