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

Individual provider Mental Health Counselor · NPI 1073598629

Kimble L Richardson, LCSW is a Mental Health Counselor in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

7165 Clearvista Way
Indianapolis, IN 46256-4621
Phone: (317) 621-5756
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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 · Licence 34002814A (IN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 39000004A (IN)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 35000369A (IN)

Record details

NPI number1073598629
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 7, 2005
Last updated in NPPESMarch 12, 2014

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