Individual provider Active NPI

Sara Anne Richardson, SUDPT

  • Social Worker
  • Cheney, WA
National Provider Identifier
1407091473
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SC61526385 Issued in WA
Practice address
2400 University LN Apt 101
Cheney, WA 99004-2055
Phone
(509) 703-1209
Fax
(509) 327-7816
NPI assigned
Dec 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO61521440 WA
Social Worker 104100000X SC61526385 WA Primary

Addresses

Primary practice location

2400 University LN Apt 101
Cheney, WA 99004-2055

Mailing address

2400 University LN Apt 101
Cheney, WA 99004-2055
Phone (509) 703-1209

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

LicenseStateTypeSpecialty
CO61521440WAMDAddiction (Substance Use Disorder) Counselor
SC61526385WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cheney Spinal Care PS PastSince Aug 1, 2006 Accepting new patients

Organizations & group practices 1

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": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1407091473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 UNIVERSITY LN APT 101",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990042055",
            "telephone_number": "509-703-1209",
            "fax_number": "509-327-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 UNIVERSITY LN APT 101",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990042055",
            "telephone_number": "509-703-1209",
            "fax_number": "509-327-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SARA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "SUDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61521440",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC61526385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheney, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.