Individual provider Active NPI

Lisa Denise Richardson, LISW CP

  • Clinical Social Worker
  • Simpsonville, SC
National Provider Identifier
1477596765
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5214 Issued in SC
Practice address
508 Airdale LN
Simpsonville, SC 29680-7822
Phone
(864) 906-1572
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2011

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 5214 SC Primary

Addresses

Primary practice location

508 Airdale LN
Simpsonville, SC 29680-7822

Mailing address

508 Airdale LN
Simpsonville, SC 29680-7822
Phone (864) 906-1572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20160307001477 SC Practitioner - Clinical Social Worker 3678879392 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5214SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Community Health Care, Inc CurrentSince Oct 21, 2021 Accepting new patients
Foothills Community Health Care, Inc CurrentSince Oct 21, 2021 Accepting new patients
Foothills Community Health Care, Inc. CurrentSince Oct 21, 2021 Accepting new patients
Foothills Community Health Care, Inc. CurrentSince Oct 21, 2021 Accepting new patients
Foothills Community Health Care, Inc. Past Accepting new patients
Gregory S. Smith & Associates, P.a. Clinical PastSince Jun 27, 2011 Accepting new patients

Locations

302 Pearman Dairy Rd
Ste C1
Anderson, SC 29625
Phone (864) 633-5171

110 Liberty Dr
Clemson, SC 29631
Phone (864) 722-0283

403 Hillcrest Dr
Ste E
Easley, SC 29640
Phone (864) 343-1220

403 Hillcrest Dr
Easley, SC 29640
Phone (864) 343-1220

Interoperability endpoints

  • Direct secure messaging: lisa.richardson.1@30137.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4

Organizations & group practices 6

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1477596765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 AIRDALE LN",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807822",
            "telephone_number": "864-906-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 AIRDALE LN",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807822",
            "telephone_number": "864-906-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LISA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LISW CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "5214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.