Individual provider Active NPI

Karen Richards, LCSW

  • Clinical Social Worker
  • Monticello, FL
National Provider Identifier
1104594431
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
19866 South Jefferson
Monticello, FL 32344
Phone
(850) 997-3958
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 Primary

Addresses

Primary practice location

19866 South Jefferson
Monticello, FL 32344

Mailing address

2023 Taylor Rd
Tallahassee, FL 32308-5736
Phone (850) 942-2700

Other practice location 1

1996 S Jefferson Hwy
Monticello, FL 32344-5100
Phone (850) 997-3958 ext. 7345

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

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1104594431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 TAYLOR RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085736",
            "telephone_number": "850-942-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19866 SOUTH JEFFERSON",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "32344",
            "telephone_number": "850-997-3958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1996 S Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "FL",
            "postal_code": "323445100",
            "country_code": "US",
            "telephone_number": "850-997-3958 x7345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.