Craig Jay Rich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004867 Issued in GA

Practice address

2914 Poyner Dr
Phenix City, AL 36870-2835

Phone

(606) 207-0965

NPI assigned

Aug 12, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1245486174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 POYNER DR",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368702835",
            "telephone_number": "606-207-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 POYNER DR",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368702835",
            "telephone_number": "606-207-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "CRAIG",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC04335300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Reedze, MS, RD, LD
• Rehabilitation Hospital of Phenix City LLC
• Derek Reif, PHARMD
• Renal Treatment Centers-Southeast, LP.
• Grantland Sutton Reviere, DO
• Richard a. Valentine MD LLC
• Jemese Richards-Boyd
• Cherie Rios, LPC
• Robert Mark Ritchea, M.D.
• David Lee Rivenbark III, PHARMD

• Clinical Social Worker in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.