Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline L Richardson

Individual provider Case Manager/Care Coordinator · NPI 1063911204

Jacqueline L Richardson is a Case Manager/Care Coordinator in Toledo, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
Specialties on file
2

Practice location Address checks out

500 Madison Ave Ste 300
Toledo, OH 43604-1257
Phone: (567) 312-8700
Fax: (567) 312-8700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3909 Woodley Rd, Toledo, OH 43606-1169 — (419) 725-3330

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 165933 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1063911204
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 2, 2018
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

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