Theresa Marie Richters, QMHP,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1723 Elm St
Forest Grove, OR 97116-2519

Phone

(503) 890-2729

Fax

(503) 747-3951

NPI assigned

Jul 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1497769830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 ELM ST",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162519",
            "telephone_number": "503-890-2729",
            "fax_number": "503-747-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 ELM ST",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162519",
            "telephone_number": "503-890-2729",
            "fax_number": "503-747-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTERS",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "QMHP,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richardson Eyecare PC
• Brad C Richardson, O.D.
• Eli Richardson, O.D.
• Jessica Richardson, AU.D.
• Levi Richardson, OD
• Patricia Loraine Rieger, PTA
• Jesus Rio-Calderon, PTA
• Emma Ristau
• Rki Primary Care at Home
• Camille Emiko Robinson, DPT

• Clinical Social Worker in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.