Active NPI
Carrie Richardson, LCSW
- Clinical Social Worker
- Boone, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009390
- Practice address
- 950 State Farm Rd BLDG 2ND
Boone, NC 28607-5021 - Phone
- (828) 268-9454
- Fax
- (828) 268-9458
- NPI assigned
- Jul 10, 2012
- Sex
- Female
- Sole proprietor
- No
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 | C009390 | NC | Primary |
Addresses
Primary practice location
950 State Farm Rd BLDG 2ND
Boone, NC 28607-5021
Mailing address
950 State Farm Rd BLDG 2ND
Boone, NC 28607-5021
Phone (828) 268-9454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3511 Shannon Rd
Durham, NC 27707-6330
Phone (201) 293-7689
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C009390 | NC | MD | Clinical Social Worker |
| 115414 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watauga Medical Center Inc | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Charles a Cannon Jr Memorial Hospital Inc | Current | Accepting new patients | |
| Watauga Medical Center, Inc. | Current | Accepting new patients | |
| Charles a. Cannon, Jr. Memorial Hospital, Inc | Past | Accepting new patients | |
| Charles a Cannon Jr Memorial Hospital Inc. | Past | Accepting new patients | |
| Watauga Medical Center Inc | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111
336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
950 State Farm Rd
Bldg 2ND
Boone, NC 28607
Phone (828) 263-0121
3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689
3753 Howard Hughes Pkwy
Ste 200
Las Vegas, NV 89169
Phone (702) 919-6580
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Organizations & group practices 7
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.
-
- Psychiatric Hospital Unit
- Linville, NC
- NPI 1407006968
-
- Psychiatry Physician
- Boone, NC
- NPI 1407921802
-
- Land Ambulance
- Boone, NC
- NPI 1255120184
-
- Critical Access Hospital
- Linville, NC
- NPI 1225088255
-
- Psychiatry Physician
- Linville, NC
- NPI 1518906700
-
- General Acute Care Hospital
- Boone, NC
- NPI 1205859766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1497010011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 STATE FARM RD BLDG 2ND",
"city": "BOONE",
"state": "NC",
"postal_code": "286075021",
"telephone_number": "828-268-9454",
"fax_number": "828-268-9458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 STATE FARM RD BLDG 2ND",
"city": "BOONE",
"state": "NC",
"postal_code": "286075021",
"telephone_number": "828-268-9454",
"fax_number": "828-268-9458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "CARRIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-10",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.