Timothy D Richner

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013592 Issued in PA

Practice address

1315 Windrim Avenue
Philadelphia, PA 19141-2710

Phone

(215) 456-3900

Fax

(215) 456-2729

NPI assigned

Sep 19, 2006

Sex

Male

Sole proprietor

Yes

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.

• Ivyland Counseling Center, Inc.

  • Clinical Psychologist
  • Warminster, PA
  • NPI 1497837355

  PA

  Medicare reassignment Care Compare group NPD
• Best Behavioral Healthcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
  • NPI 1730361767
  NPD (past)

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyland Counseling Center, Inc. 23 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in PA

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356448898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WINDRIM AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412710",
            "telephone_number": "215-456-3900",
            "fax_number": "215-456-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WINDRIM AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412710",
            "telephone_number": "215-456-3900",
            "fax_number": "215-456-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHNER",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Richman, MD
• Allen C Richmond, MD
• Chelsea Olivia Richmond
• Kate Anne Richmond, PHD
• Steven Mark Richmond, DDS
• Elisabeth Marie Richt, MS OTR/L
• Benjamin Andrew Richter, LPC, CAADC
• Felix Richter, MD, PHD
• Gia Marie Richter, RDN, LDN
• Jon L. Richter, D.M.D., PH.D.

• All providers in Philadelphia, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.