Individual provider Active NPI

Donlarae Curtis Richardson, LCSWA

  • Social Worker
  • Atlanta, GA
National Provider Identifier
1386139509
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
P011070 Issued in NC
Practice address
1701 Hardee Ave SW
Atlanta, GA 30310-5110
Phone
(404) 321-6111
NPI assigned
Jun 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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 P011070 NC Primary

Addresses

Primary practice location

1701 Hardee Ave SW
Atlanta, GA 30310-5110

Mailing address

2951 Satellite Blvd Apt 1302
Duluth, GA 30096-2375
Phone (334) 450-4657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200302001796 GA Practitioner - Clinical Social Worker 7416384581 Reassigns benefits to 2 organizations
I20240507002754 NC Practitioner - Clinical Social Worker 7416384581 Reassigns benefits to 2 organizations
I20241202002333 ID Practitioner - Clinical Social Worker 7416384581 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P011070NCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Refining Perceptions Social Worker CurrentSince Jun 1, 2024 Accepting new patients
Sondermind PC Clinical CurrentSince Feb 27, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Mar 26, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

175 Langley Dr
Ste E1
Lawrenceville, GA 30046
Phone (470) 219-1472

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

Organizations & group practices 3

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1386139509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 SATELLITE BLVD APT 1302",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300962375",
            "telephone_number": "334-450-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 HARDEE AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303105110",
            "telephone_number": "404-321-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "DONLARAE",
        "middle_name": "CURTIS",
        "name_prefix": "Mr.",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P011070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.