Richard A Fay, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8489 Issued in FL

Practice address

59 Bayside Dr
Palm Coast, FL 32137-8871

Phone

(386) 986-8662

NPI assigned

Nov 28, 2006

Last updated

Aug 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Presbyterian Counseling Center IncGroup PAC ID 8325370950, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Presbyterian Counseling Center Inc

  dba Presbyterian Counseling Center

  • Voluntary or Charitable Agency
  • Deland, FL
  • NPI 1023277571
  Medicare reassignment Care Compare group NPD
• Heart, Head & Hand, Inc.

  • Early Intervention Provider Agency
  • Palm Coast, FL
  • NPI 1780909515
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1447326475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BAYSIDE DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378871",
            "telephone_number": "386-986-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BAYSIDE DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378871",
            "telephone_number": "386-986-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAY",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8489",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8117225 00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7660880 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tania Faria
• Benjamin James Farley, MD
• Emily F Farmer
• Charles Edward Faulk, DPM
• Rebecca A Faunce, DMD
• Rachel Febert
• Tanya Feddern-Bekcan, OT
• Amy Christine Federico, NP
• Marta Fenero
• William Bonlore Ferguson, PHD, MD

• Clinical Social Worker in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.