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

Richard Tatum

Individual provider Clinical Social Worker · NPI 1487105037

Richard Tatum is a Clinical Social Worker in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone: (678) 209-2394
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 048149 (NY)

Record details

NPI number1487105037
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 19, 2016
Last updated in NPPESOctober 19, 2016

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