Individual provider Active NPI

Richard Andrew Budreau, LCSW

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1144986472
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3381A Kamaaina PL
Honolulu, HI 96817-1034
Phone
(978) 460-4819
NPI assigned
Nov 10, 2021
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 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

3381A Kamaaina PL
Honolulu, HI 96817-1034

Mailing address

3381A Kamaaina PL
Honolulu, HI 96817-1034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250306000514 MA Practitioner - Clinical Social Worker 8325569387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tufts Medical Center, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Commonwealth Counseling Group LLC Current Accepting new patients
Tufts Medical Center, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Rooted Recovery LLC Current Accepting new patients

Locations

750 Washington St
#833
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

Organizations & group practices 4

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1144986472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381A KAMAAINA PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381A KAMAAINA PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171034",
            "telephone_number": "978-460-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDREAU",
        "first_name": "RICHARD",
        "middle_name": "ANDREW",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.