Active NPI
Loretta Lou Richardson, MS
- Clinical Social Worker
- Post Falls, ID
National Provider Identifier
1245601640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW 35213
- Practice address
- 1300 E Mullan Ave
Post Falls, ID 83854-6052 - Phone
- (208) 625-4295
- NPI assigned
- Oct 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG60756938 | WA | |
| Social Worker | 104100000X | LMSW-35213 | ID | |
| Clinical Social Worker | 1041C0700X | LMSW 35213 | ID | Primary |
Addresses
Primary practice location
1300 E Mullan Ave
Post Falls, ID 83854-6052
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4295
Other practice location 1
427 N 12th St
Plummer, ID 83851-0388
Phone (208) 686-1931
Other practice location 2
505 E North Foothills Dr
Spokane, WA 99207-2101
Phone (509) 838-4651
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60756938 | WA | MD | Counselor |
| LMSW-35213 | ID | MD | Social Worker |
| LMSW 35213 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Behavioral Health | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Spokane, WA
- NPI 1861495327
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1245601640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 KOOTENAI HEALTH WAY",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838146051",
"telephone_number": "208-625-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 E MULLAN AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838546052",
"telephone_number": "208-625-4295"
}
],
"practiceLocations": [
{
"address_1": "427 N 12th St",
"address_purpose": "LOCATION",
"city": "Plummer",
"state": "ID",
"postal_code": "838510388",
"country_code": "US",
"telephone_number": "208-686-1931",
"fax_number": "208-686-0213",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 E North Foothills Dr",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992072101",
"country_code": "US",
"telephone_number": "509-838-4651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "LORETTA",
"middle_name": "LOU",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-12",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60756938",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-35213",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LMSW 35213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.