Active NPI
Dan Dwan Richardson, MSW
- Social Worker
- Tallahassee, FL
National Provider Identifier
1245958115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW17166
- Practice address
- 1367 E Lafayette St Ste C
Tallahassee, FL 32301-4769 - Phone
- (850) 536-6632
- Fax
- (888) 462-8914
- NPI assigned
- Aug 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW17166 | FL | Primary |
Addresses
Primary practice location
1367 E Lafayette St Ste C
Tallahassee, FL 32301-4769
Mailing address
PO Box 6134
Tallahassee, FL 32314-6134
Phone (850) 294-2702
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW17166 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1245958115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6134",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323146134",
"telephone_number": "850-294-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1367 E LAFAYETTE ST STE C",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323014769",
"telephone_number": "850-536-6632",
"fax_number": "888-462-8914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "DAN",
"middle_name": "DWAN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-17",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "FL",
"license": "ISW17166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.