Shaina Blair-Champion Richardson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7868 Issued in TN

Practice address

1608 Williams Dr Ste 301
Murfreesboro, TN 37129-3195

Phone

(615) 653-4115

NPI assigned

May 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Key Rehabilitation Inc

  dba GeroPsych, a division of Key Rehabilitation, Inc

  • Clinical Psychologist
  • Hendersonville, TN
  • NPI 1528136249
  NPD
• RH Mental Health, LLC

  dba Ellie Mental Health

  • Multi-Specialty Clinic/Center
  • Murfreesboro, TN
  • NPI 1598413833
  NPD

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1124767215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 FORREST POINTE DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371305030",
            "telephone_number": "865-934-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 WILLIAMS DR STE 301",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293195",
            "telephone_number": "615-653-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SHAINA",
        "middle_name": "BLAIR-CHAMPION",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaina.champion@ascension.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1608 Williams Dr Ste 301",
            "city": "Murfreesboro",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371293195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarina Richards
• Chad Richardson, FNP
• Deborah Lynn Richardson, L.C.S.W.
• Katie Richardson
• Lamantha Richardson, CFNP
• Sheri Richardt, LCSW
• Dennis R Richerson, M.D.
• Averi Rae Richey
• Bradley Richins, RN, BSN
• Richland Creek Dental Group, PLLC (Stonetrace Family Dental)

• Clinical Social Worker in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.