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

Mr. Clem Richardson, BS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760516215

Mr. Clem Richardson, BS is a Mental Health Counselor in Milwaukee, Wisconsin. Qualified in 2009, 17 years ago. Licensed in Wisconsin.

Years since qualifying
17
Licensed in
WI
In the registry since
2007
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

6040 W Lisbon Ave
Milwaukee, WI 53210-2116
Phone: (414) 447-9890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 14455132 (WI)

Record details

NPI number1760516215
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorNo
NPI enumeratedMarch 15, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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