Active NPI
Lynn Richmond, MSW LCSW
- Clinical Social Worker
- Collegeville, PA
National Provider Identifier
1386836641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CWO11620L
- Practice address
- 439 Dolores Drive
Collegeville, PA 19426 - Phone
- (610) 805-7897
- Fax
- (610) 489-6520
- NPI assigned
- Aug 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | CWO11620L | PA | |
| Psychoanalyst | 102L00000X | 44SC00037600 | NJ | |
| Clinical Social Worker | 1041C0700X | CWO11620L | PA | Primary |
| Clinical Social Worker | 1041C0700X | 44SC00037600 | NJ |
Addresses
Primary practice location
439 Dolores Drive
Collegeville, PA 19426
Mailing address
439 Dolores Drive
Collegeville, PA 19426
Phone (610) 805-7897
Other names 1
- Ms. Lynn Richmond Maddy
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 |
|---|---|---|---|
| CWO11620L | PA | MD | Psychoanalyst |
| 44SC00037600 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186704000000",
"number": "1386836641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 DOLORES DRIVE",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "19426",
"telephone_number": "610-805-7897",
"fax_number": "610-489-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 DOLORES DRIVE",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "19426",
"telephone_number": "610-805-7897",
"fax_number": "610-489-6520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MSW LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-10",
"last_updated": "2007-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "PA",
"license": "CWO11620L",
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NJ",
"license": "44SC00037600",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CWO11620L",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00037600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "MADDY",
"middle_name": "RICHMOND",
"prefix": "MS.",
"credential": "MSW LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Collegeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.