Active NPI
Judith Ann Rickard
- Clinical Social Worker
- Richardson, TX
National Provider Identifier
1033277785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 31971
- Practice address
- 2007 N Collins Blvd Ste 409
Richardson, TX 75080-2665 - Phone
- (972) 880-5139
- NPI assigned
- Dec 5, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 31971 | TX | Primary |
Addresses
Primary practice location
2007 N Collins Blvd Ste 409
Richardson, TX 75080-2665
Mailing address
2611 Quail Hollow Dr
Sachse, TX 75048-2138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31971 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1033277785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 QUAIL HOLLOW DR",
"city": "SACHSE",
"state": "TX",
"postal_code": "750482138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 N COLLINS BLVD STE 409",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802665",
"telephone_number": "972-880-5139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKARD",
"first_name": "JUDITH",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "31971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
- Richardson Walk in Clinic PLLC
- Richardspn Dental Professionals (Richardson Cosmetic Dentistry)
- Taylor Richie
- Richland Oaks Counseling Center
- Richland Oaks Psychological Associates
- Kimberly Allison Ridout, PT
- Kelsie J Riemenschneider, MD
- Keri Pagna Riggs, L.P.C.
- Richard Ray Riggs, D.D.S.
- Right Trading and Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.