Individual provider Active NPI

Diane Richardson

  • Clinical Social Worker
  • Cranford, NJ
National Provider Identifier
1245632082
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SCO5447000 Issued in NJ
Practice address
108 Alden St
Cranford, NJ 07016-2131
Phone
(908) 423-7396
NPI assigned
Sep 24, 2014
Last updated
Sep 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00181900 NJ
Clinical Social Worker 1041C0700X 44SCO5447000 NJ Primary

Addresses

Primary practice location

108 Alden St
Cranford, NJ 07016-2131

Mailing address

108 Alden St
Cranford, NJ 07016-2131
Phone (908) 423-7396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20141031001778 NJ Practitioner - Clinical Social Worker 0345461596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

108 Alden St
Cranford, NJ 07016-2131
Phone (908) 497-3968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00181900NJMDAddiction (Substance Use Disorder) Counselor
44SCO5447000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Guild Behavioral Health System CurrentSince Sep 2, 2014 Accepting new patients
Mount Carmel Guild Behavioral Health System CurrentSince Sep 2, 2014 Accepting new patients

Locations

108 Alden St
Cranford, NJ 07016
Phone (908) 497-3968

Organizations & group practices 2

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": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1245632082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ALDEN ST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162131",
            "telephone_number": "908-423-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ALDEN ST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162131",
            "telephone_number": "908-423-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00181900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SCO5447000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

Verify at the official NPI Registry.