Individual provider Active NPI

Melissa Leann Eich-Richardson

  • Clinical Social Worker
  • South Deerfield, MA
National Provider Identifier
1386026789
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
110 N Hillside Rd Ste 21
South Deerfield, MA 01373-9727
Phone
(413) 387-8355
Fax
(413) 200-3100
NPI assigned
Jun 22, 2015
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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 Primary

Addresses

Primary practice location

110 N Hillside Rd Ste 21
South Deerfield, MA 01373-9727

Mailing address

110 N. Hillside Rd
Suite 21
South Deerfield, MA 01373-9726
Phone (413) 387-8355

Other practice location 1

8 Atwood Dr
Suite 301
Northampton, MA 01060-4272
Phone (413) 584-8084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190318000407 MA Practitioner - Clinical Social Worker 1658611306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

110 N Hillside Rd
Suite 21
South Deerfield, MA 01373-9727
Phone (413) 387-8355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trailhead Psychotherapy, LLC Clinical CurrentSince Jan 29, 2024 Accepting new patients
Clinical & Support Options, Inc CurrentSince Jan 30, 2019 Accepting new patients

Locations

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

110 N Hillside Rd
Ste 21
South Deerfield, MA 01373
Phone (413) 387-8355

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1386026789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N. HILLSIDE RD",
            "address_2": "SUITE 21",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013739726",
            "telephone_number": "413-387-8355",
            "fax_number": "413-200-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N HILLSIDE RD STE 21",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013739727",
            "telephone_number": "413-387-8355",
            "fax_number": "413-200-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Atwood Dr",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "010604272",
            "country_code": "US",
            "telephone_number": "413-584-8084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EICH-RICHARDSON",
        "first_name": "MELISSA",
        "middle_name": "LEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Deerfield, MA

Sources for this page

Verify at the official NPI Registry.