Active NPI
Allison Troy Richardson
- Clinical Social Worker
- Corrales, NM
National Provider Identifier
1366573339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSWC-08209
- Practice address
- 207 Via Oreada
Corrales, NM 87048 - Phone
- (808) 896-3485
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW26192 | CA | |
| Clinical Social Worker | 1041C0700X | I-08209 | NM | |
| Clinical Social Worker | 1041C0700X | LCSWC-08209 | NM | Primary |
Addresses
Primary practice location
207 Via Oreada
Corrales, NM 87048
Mailing address
207 Via Oreada
Corrales, NM 87048
Phone (808) 896-3485
Other names 1
- Allison Troy Heckl
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 |
|---|---|---|---|
| LCSW26192 | CA | MD | Clinical Social Worker |
| I-08209 | NM | MD | Clinical Social Worker |
| LCSWC-08209 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1366573339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 VIA OREADA",
"city": "CORRALES",
"state": "NM",
"postal_code": "87048",
"telephone_number": "808-896-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 VIA OREADA",
"city": "CORRALES",
"state": "NM",
"postal_code": "87048",
"telephone_number": "808-896-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "ALLISON",
"middle_name": "TROY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW26192",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-08209",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "LCSWC-08209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "HECKL",
"middle_name": "TROY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Corrales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.