Individual provider Active NPI

Robin Richardson, LCSW

  • Clinical Social Worker
  • Bogalusa, LA
National Provider Identifier
1265574958
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4513 Issued in LA
Practice address
405 Avenue F
Bogalusa, LA 70427-3633
Phone
(985) 732-1568
Fax
(985) 732-4458
NPI assigned
Feb 12, 2007
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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 4513 LA Primary

Addresses

Primary practice location

405 Avenue F
Bogalusa, LA 70427-3633

Mailing address

PO Box 1308
Bogalusa, LA 70429-1308
Phone (985) 516-5192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20150408002500 LA Practitioner - Clinical Social Worker 5991023681 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4513LAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinics of the Southeast LLC CurrentSince Mar 1, 2023 Accepting new patients
Clinics of the Southeast LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

219 S Border Dr
Bogalusa, LA 70427
Phone (504) 732-4300

405 Avenue F
Bogalusa, LA 70427
Phone (985) 732-1568

405 Avenue F
#C
Bogalusa, LA 70427
Phone (985) 732-1568

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1265574958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1308",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704291308",
            "telephone_number": "985-516-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273633",
            "telephone_number": "985-732-1568",
            "fax_number": "985-732-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ROBIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

Verify at the official NPI Registry.