Annette Renee Richards, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801057471 Issued in MI

Practice address

136 Cherokee Rd
Pontiac, MI 48341-2001

Phone

(248) 334-9214

NPI assigned

Sep 19, 2009

Last updated

Sep 19, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Behavioral Clinic LLCGroup PAC ID 0446503130, 13 clinicians

Practice addresses (Care Compare)

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.

• Midwest Behavioral Clinic LLC

  • Psychologist
  • Highland, MI
  • NPI 1487146684
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1253318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253318400000",
    "number": "1184958456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 CHEROKEE RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412001",
            "telephone_number": "248-334-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 CHEROKEE RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412001",
            "telephone_number": "248-334-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "ANNETTE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-19",
        "last_updated": "2009-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801057471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahvish Renzu, MD
• Rebecca Ann Reppuhn, P.A.-C.
• Joanna Emi Rew
• Anmol Rattan Singh Riar
• Areeba Riaz, MD
• Amanda Richardson, RN
• Jacqulyn Richardson
• Kristopher Richardson, DO
• Krystal Richardson, FNP
• Lora Casanova Rigsby, D.O.

• Clinical Social Worker in Pontiac, MI
• Providers in Pontiac, 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 Sep 19, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.