Active NPI
Ed Richert, LCSW, LMFT
- Clinical Social Worker
- Visalia, CA
National Provider Identifier
1225407364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 9212
- Practice address
- 1645 S Court St
Visalia, CA 93277-4945 - Phone
- (559) 627-6027
- NPI assigned
- Sep 18, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 9212 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | MFC 17059 | CA |
Addresses
Primary practice location
1645 S Court St
Visalia, CA 93277-4945
Mailing address
1645 S Court St
Visalia, CA 93277-4945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 9212 | CA | MD | Clinical Social Worker |
| MFC 17059 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442534400000",
"number": "1225407364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 S COURT ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932774945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 S COURT ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932774945",
"telephone_number": "559-627-6027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHERT",
"first_name": "ED",
"credential": "LCSW, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-18",
"last_updated": "2015-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 9212",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 17059",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.