Shawn Kristen Richardson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801081235 Issued in MI

Practice address

15700 W 10 Mile Rd Ste 106
Southfield, MI 48075-2100

Phone

(989) 225-4111

Fax

(248) 575-4555

NPI assigned

May 26, 2019

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

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Catholic Family Service

  • Community/Behavioral Health Agency
  • Mt. Pleasant, MI
  • NPI 1881735223
  NPD (past)

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

{
    "created_epoch": "1558828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1164089066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 EASTON RD",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679639",
            "telephone_number": "989-277-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 W 10 MILE RD STE 106",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752100",
            "telephone_number": "989-225-4111",
            "fax_number": "248-575-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SHAWN",
        "middle_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-26",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Richardson
• Eric James Richardson, D.D.S., M.S.
• Evonne Renee Richardson, FNP-C
• Kymberlee Richardson
• Peggy Richardson, M.D.
• Tia Avette Richardson, LMSW
• Toyia Richardson, DNP, FNP-BC
• Sarah Richcreek
• Shoshana Dahlia Richelson, AUD
• Richey Care Consultants LLC

• Clinical Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.