Individual ProviderRichard Alexander LawsonCounselorBehavioral Health & Social Service ProvidersPractice Address1101 Glendale Blvd Ste 101-B, Valparaiso, IN 46383-3775(219) 462-1040PECOS EnrollmentBased on the most recent information from CMS, provider Richard Alexander Lawson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:05 AM.Profile DetailsProvider ID1548473440Provider TypeIndividualFull NameLawson, Richard AlexanderTitleMr.CredentialM.S.GenderMaleSole ProprietorYesEnumeration Date5/7/2007Last Updated7/21/2022Contact InformationPractice LocationPractice Address1101 Glendale Blvd Ste 101-B, Valparaiso, IN 46383-3775Phone(219) 462-1040Fax(219) 462-1040Mailing LocationMailing Address3152 Wintergreen Dr, Valparaiso, IN 46383-0711Phone(219) 462-1040Fax(219) 462-1040Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense39000438AIndianaCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense34002466AIndianaCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense33001469AIndiana