NPIMap

Organization Active NPI

Annemarie Rich, LCSW Counseling Services

  • Clinical Social Worker
  • Smethport, PA
National Provider Identifier
1356080212
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ANNEMARIE RICH, LCSW COUNSELING SERVICES
Practice address
203 W Main St
Smethport, PA 16749-1259
Phone
(814) 887-2350
Fax
(814) 887-2084
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Annemarie Rich, LCSWNPI 1285957340
Title
Owner
Phone
(814) 887-2350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

203 W Main St
Smethport, PA 16749-1259

Mailing address

PO Box 332
Smethport, PA 16749-0332
Phone (814) 887-2350

Other identifiers 1

IdentifierTypeStateIssuer
102923463MedicaidPA

National Provider Directory

National Provider Directory

Locations

203 W Main St
Smethport, PA 16749
Phone (814) 887-2350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1356080212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "SMETHPORT",
            "state": "PA",
            "postal_code": "167490332",
            "telephone_number": "814-887-2350",
            "fax_number": "814-887-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST",
            "city": "SMETHPORT",
            "state": "PA",
            "postal_code": "167491259",
            "telephone_number": "814-887-2350",
            "fax_number": "814-887-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNEMARIE RICH, LCSW COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "ANNEMARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-887-2350",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102923463",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smethport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.