Active NPI
Judson D Richardson, MSW, LGSW
- Social Worker
- Washington, DC
National Provider Identifier
1013128123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 102 Irving Street NW
Room 1024
Washington, DC 20010-2949 - Phone
- (202) 877-1467
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
102 Irving Street NW
Room 1024
Washington, DC 20010-2949
Mailing address
1608 Hobart St NW
Washington, DC 20009-3705
Phone (202) 368-0938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272412800000",
"number": "1013128123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 HOBART ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200093705",
"telephone_number": "202-368-0938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 IRVING STREET NW",
"address_2": "ROOM 1024",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102949",
"telephone_number": "202-877-1467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "JUDSON",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "MSW, LGSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2010-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.