Individual provider Active NPI

Renee Legnon Richards, MSW, LCSW

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1124509369
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5261 Issued in LA
Practice address
101 Millrock Rd
Lafayette, LA 70508-7763
Phone
(337) 322-8584
NPI assigned
Aug 26, 2018
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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 5261 LA Primary

Addresses

Primary practice location

101 Millrock Rd
Lafayette, LA 70508-7763

Mailing address

101 Millrock Rd
Lafayette, LA 70508-7763
Phone (337) 322-5884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20190307000886 LA Practitioner - Clinical Social Worker 7113266289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 Millrock Rd
Lafayette, LA 70508-7763
Phone (337) 322-8584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5261LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Renee Richards LCSW LLC Clinical CurrentSince Nov 6, 2018 Accepting new patients

Locations

2020 W Pinhook Rd
Ste 106
Lafayette, LA 70508
Phone (337) 322-8584

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1124509369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MILLROCK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087763",
            "telephone_number": "337-322-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MILLROCK RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087763",
            "telephone_number": "337-322-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "RENEE",
        "middle_name": "LEGNON",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-26",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "5261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.