Individual provider Active NPI

Florence Maurine Richardson, M.S.W.,L.C.S.W.

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1396742706
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1170-C Issued in AR
Practice address
1301 Wilson Rd
Little Rock, AR 72205-6659
Phone
(501) 225-0576
Fax
(501) 225-6789
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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 1170-C AR Primary

Addresses

Primary practice location

1301 Wilson Rd
Little Rock, AR 72205-6659

Mailing address

1301 Wilson Rd
Little Rock, AR 72205-6659
Phone (501) 225-0576

Other identifiers 2

IdentifierTypeStateIssuer
1932174836OtherARCLINIC NPI#
5T208OtherARLOCAL BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20040220000810 AR Practitioner - Clinical Social Worker 0941195564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
We Psychiatric Services PLLCGroup PAC ID 5698142248, 8 clinicians

Practice addresses (Care Compare)

1301 Wilson Rd
Little Rock, AR 72205-6659
Phone (501) 225-0576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1170-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Resolution Resources, Inc PastSince May 14, 2012 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1396742706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WILSON RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056659",
            "telephone_number": "501-225-0576",
            "fax_number": "501-225-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WILSON RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056659",
            "telephone_number": "501-225-0576",
            "fax_number": "501-225-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "FLORENCE",
        "middle_name": "MAURINE",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.,L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1170-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC NPI#",
            "identifier": "1932174836",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL BCBS",
            "identifier": "5T208",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.