Individual provider Active NPI

Angel Sheree Richard

  • Clinical Social Worker
  • Lancaster, CA
National Provider Identifier
1003561077
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
134625 Issued in CA
Practice address
44443 10TH St W
Lancaster, CA 93534-3346
Phone
(661) 726-2630
NPI assigned
Feb 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 111971 CA
Clinical Social Worker 1041C0700X 134625 CA Primary
Mental Health Counselor 101YM0800X 111971 CA

Addresses

Primary practice location

44443 10TH St W
Lancaster, CA 93534-3346

Mailing address

44443 10TH St W
Lancaster, CA 93534-3346
Phone (661) 726-2630

Other practice location 1

2151 College Ave
Bakersfield, CA 93305-4113
Phone (661) 868-1549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203001916 CA Practitioner - Clinical Social Worker 1557854049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Westover Dr
Sanford, NC 27330-8941

8916 Walpole Ave
California City, CA 93505-2141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111971CAMDMental Health Counselor
134625CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kern Behavioral Health & Recovery Services Social Worker Current Accepting new patients
Sud Specialty Group - Ca Clinical CurrentSince Nov 18, 2025 Accepting new patients

Locations

2151 College Ave
Bakersfield, CA 93305
Phone (661) 868-8080

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1003561077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44443 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343346",
            "telephone_number": "661-726-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44443 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343346",
            "telephone_number": "661-726-2630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 College Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933054113",
            "country_code": "US",
            "telephone_number": "661-868-1549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "ANGEL",
        "middle_name": "SHEREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "111971",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "134625",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "111971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.