Individual provider Active NPI

Amber L Richardson, MSW, LSW

  • Social Worker
  • Danville, IL
National Provider Identifier
1295513513
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150111530 Issued in IL
Practice address
309 N Logan Ave
Danville, IL 61832-5613
Phone
(217) 442-3200
Fax
(217) 431-1779
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150111530 IL Primary

Addresses

Primary practice location

309 N Logan Ave
Danville, IL 61832-5613

Mailing address

309 N Logan Ave
Danville, IL 61832-5613
Phone (217) 442-3200

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

LicenseStateTypeSpecialty
150111530ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crosspoint Human Services Social Worker CurrentSince Sep 24, 2023 Accepting new patients
Crosspoint Human Services PastSince Sep 24, 2023 Accepting new patients

Locations

309 N Logan Ave
Danville, IL 61832
Phone (217) 431-1785

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1295513513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325613",
            "telephone_number": "217-442-3200",
            "fax_number": "217-431-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325613",
            "telephone_number": "217-442-3200",
            "fax_number": "217-431-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "AMBER",
        "middle_name": "L",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150111530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.