Individual provider Active NPI

Kathleen Mary Richards, LCSW

  • Clinical Social Worker
  • Enfield, CT
National Provider Identifier
1487850533
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005817 Issued in CT
Practice address
95 Raffia Rd Ste 2
Enfield, CT 06082-5178
Phone
(860) 749-9298
Fax
(860) 749-9298
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 005817 CT Primary

Addresses

Primary practice location

95 Raffia Rd Ste 2
Enfield, CT 06082-5178

Mailing address

95 Raffia Rd Ste 2
Enfield, CT 06082-5178
Phone (860) 749-9298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20260508002285 CT Practitioner - Clinical Social Worker 7618461724 Practice locations: South Windsor, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7 Hillside Dr
South Windsor, CT 06074-1396
Phone (860) 418-9189

7 Hillside Dr
Suite 1
South Windsor, CT 06074-1395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005817CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Matter LLC Clinical Past 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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487850533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 RAFFIA RD STE 2",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825178",
            "telephone_number": "860-749-9298",
            "fax_number": "860-749-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 RAFFIA RD STE 2",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825178",
            "telephone_number": "860-749-9298",
            "fax_number": "860-749-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.