Kelly M Richman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW01032 Issued in RI

Practice address

17 Ashton Pkwy
Suite 201
Cumberland, RI 02864-4827

Phone

(401) 578-8495

Fax

(401) 921-5493

NPI assigned

Jan 25, 2007

Last updated

Sep 30, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Gaines Therapy PLLC

  • Mental Health Counselor
  • Waxhaw, NC
  • NPI 1598362188
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1023164985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EAST ST",
            "address_2": "UNIT 115",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204469",
            "telephone_number": "401-578-8495",
            "fax_number": "401-921-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ASHTON PKWY",
            "address_2": "SUITE 201",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644827",
            "telephone_number": "401-578-8495",
            "fax_number": "401-921-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMAN",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW01032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhode Island CVS Pharmacy, L.L.C. (CVS Pharmacy # 02506)
• Rhode Island Ear, Nose & Throat Physicians, Inc.
• Rhode Island Family Care, Inc.
• Rhode Island Mayoral Academy Blackstone Valley
• Rhode Island Mayoral Academy Blackstone Valley
• Billy Rivera
• Cassandra Iris Rivera
• Lorangelly Rivera
• Tracy Robinson, MS CCC-SLP
• John F Roche, PTA

• Clinical Social Worker in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.