Individual provider Active NPI

Maria Conceicao Richmond, LCSW

  • Clinical Social Worker
  • Taylorsville, UT
National Provider Identifier
1104157262
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
324986-3501 Issued in UT
Practice address
5667 S Redwood Rd # 6
Taylorsville, UT 84123-5433
Phone
(385) 425-3196
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 324986-3501 UT Primary

Addresses

Primary practice location

5667 S Redwood Rd # 6
Taylorsville, UT 84123-5433

Mailing address

7093 S 2800 W
West Jordan, UT 84084-2886
Phone (801) 864-2480

Other practice location 1

5689 S Redwood Rd Unit 28
Taylorsville, UT 84123-5499
Phone (801) 864-2480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20200814001095 UT Practitioner - Clinical Social Worker 0143646679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5667 S Redwood Rd
Suite 6
Taylorsville, UT 84123-5433
Phone (385) 425-3196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Counseling Utah LLC Clinical CurrentSince Apr 28, 2020 Accepting new patients

Locations

5667 S Redwood Rd
#6
Taylorsville, UT 84123
Phone (385) 425-3196

5667 S Redwood Rd
Ste 6
Taylorsville, UT 84123
Phone (385) 425-3196

5689 S Redwood Rd
Unit 28
Taylorsville, UT 84123
Phone (801) 266-4643

Organizations & group practices 1

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1104157262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7093 S 2800 W",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840842886",
            "telephone_number": "801-864-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5667 S REDWOOD RD # 6",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235433",
            "telephone_number": "385-425-3196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5689 S Redwood Rd Unit 28",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "UT",
            "postal_code": "841235499",
            "country_code": "US",
            "telephone_number": "801-864-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "MARIA",
        "middle_name": "CONCEICAO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "324986-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.