Active NPI
Sandra J Richter, LCSW, RPT
- Clinical Social Worker
- Minot, ND
National Provider Identifier
1417310731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4230
- Practice address
- 315 Main St S Ste 307
Minot, ND 58701-3956 - Phone
- (701) 839-4100
- Fax
- (701) 839-4101
- NPI assigned
- Apr 4, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4230 | ND | Primary |
Addresses
Primary practice location
315 Main St S Ste 307
Minot, ND 58701-3956
Mailing address
315 Main St S Ste 307
Minot, ND 58701-3956
Phone (701) 839-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190919001061 | ND | Practitioner - Clinical Social Worker | 7214267145 | Practice locations: Minot, ND |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1417310731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MAIN ST S STE 307",
"city": "MINOT",
"state": "ND",
"postal_code": "587013956",
"telephone_number": "701-839-4100",
"fax_number": "701-839-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MAIN ST S STE 307",
"city": "MINOT",
"state": "ND",
"postal_code": "587013956",
"telephone_number": "701-839-4100",
"fax_number": "701-839-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHTER",
"first_name": "SANDRA",
"middle_name": "J",
"credential": "LCSW, RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-04",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ND",
"license": "4230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.