Individual provider Active NPI

Kenneth L Richmond, L.M.S.W.

  • Clinical Social Worker
  • White Cloud, MI
National Provider Identifier
1245341940
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801064001 Issued in MI
Practice address
1049 E Newell St
Box 867
White Cloud, MI 49349-8795
Phone
(231) 689-7330
Fax
(231) 689-7345
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801064001 MI Primary

Addresses

Primary practice location

1049 E Newell St
Box 867
White Cloud, MI 49349-8795

Mailing address

1389 Indian Lakes Rd NE
Sparta, MI 49345-9504
Phone (231) 689-7330

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181009003634 MI Practitioner - Clinical Social Worker 0840542445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5270 Northland Dr B
Grand Rapids, MI 49525-1073
Phone (616) 514-8860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newaygo County Mental Health Board CurrentSince Jul 6, 2019 Accepting new patients
Newaygo County Mental Health Board CurrentSince Jul 6, 2019 Accepting new patients
Richmond Counseling LLC Clinical CurrentSince Aug 10, 2018 Accepting new patients

Locations

5270 Northland Dr NE
Ste B
Grand Rapids, MI 49525
Phone (616) 326-5672

1049 E Newell St
White Cloud, MI 49349
Phone (231) 689-7300

1049 E Newell St
#867
White Cloud, MI 49349

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245341940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 INDIAN LAKES RD NE",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493459504",
            "telephone_number": "231-689-7330",
            "fax_number": "231-689-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 E NEWELL ST",
            "address_2": "BOX 867",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493498795",
            "telephone_number": "231-689-7330",
            "fax_number": "231-689-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "KENNETH",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801064001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Cloud, MI

Sources for this page

Verify at the official NPI Registry.