Ayanna A Richardson, MSW, LICSW, LADC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

29116 Issued in MN

Practice address

964 Charles Ave
Saint Paul, MN 55104-2613

Phone

(612) 752-8567

NPI assigned

May 14, 2021

Last updated

Apr 24, 2025By 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 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1225602253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041903",
            "telephone_number": "612-752-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 CHARLES AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042613",
            "telephone_number": "612-752-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "AYANNA",
        "middle_name": "A",
        "credential": "MSW, LICSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305809",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "29116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ayannayanna1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "964 Charles Ave",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551042613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ayannayanna@aol.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "964 Charles Ave",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551042613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Lynn Richards, PT, DPT
• Kevin Richards
• Martin E Richards Jr., MD
• Adrienne L Richardson, M.D.
• Ashley Richardson, CMT
• Janilyn Richardson, MD
• Jenna Gay Richardson, PA
• Jordan P Richardson, MD
• Kim Nmi Richardson
• Lisa Richardson, MSS, LICSW

• Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.