Karen Elise Richie, LCSW, DSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006071A Issued in IN

Practice address

2410 Grape Rd Ste 6
Mishawaka, IN 46545-3015

Phone

(574) 217-0128

Fax

(574) 288-3447

NPI assigned

Dec 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1023387362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339058",
            "telephone_number": "419-695-8010",
            "fax_number": "606-328-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 GRAPE RD STE 6",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453015",
            "telephone_number": "574-217-0128",
            "fax_number": "574-288-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHIE",
        "first_name": "KAREN",
        "middle_name": "ELISE",
        "credential": "LCSW, DSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006071A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3492",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "34006071A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Marie Rice, HIS, LPN
• Jonathan Rich
• Bradley A Richards, MD
• Emily Richardson, RBT
• Hannah Richendollar, RBT
• Courtney Lynn Rifenberg, PH.D.
• Sheri Rimelspach
• Lauren Rinard, DMD
• Mark C Rindlisbacher, D.P.M.
• Dominique Lorraine Rinehart

• Clinical Social Worker in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.