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

Mr. Richard Britton De Shazo, LICSW

Individual provider Social Worker · NPI 1073662557

Mr. Richard Britton De Shazo, LICSW is a Clinical Social Worker in Birmingham, Alabama. Qualified in 2015, 11 years ago. Practices with University of Alabama Health Services Foundation, PC, a 2,759-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama and New Mexico.

Years since qualifying
11
Licensed in
AL, NM
In the registry since
2007
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1713 6th Ave S
Birmingham, AL 35294-0001
Phone: (205) 934-4107
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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 4115C (AL)
Social Worker Taxonomy 104100000X · Licence B-05862 (NM)

Record details

NPI number1073662557
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 10, 2007
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Of Alabama Health Services Foundation, Pc — 2759 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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