Active NPI
Cardia Monique Richardson, LCSW
- Community/Behavioral Health Agency
- Concord, CA
National Provider Identifier
1528571098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LCSW74103
- Practice address
- 1430 Willow Pass Rd Ste 100
Concord, CA 94520-7946 - Phone
- (925) 288-3916
- Fax
- (925) 646-5774
- NPI assigned
- Nov 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LCSW74103 | CA | Primary |
Addresses
Primary practice location
1430 Willow Pass Rd Ste 100
Concord, CA 94520-7946
Mailing address
1430 Willow Pass Rd Ste 100
Concord, CA 94520-7946
Phone (925) 288-3916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW74103 | CA | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1528571098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 WILLOW PASS RD STE 100",
"city": "CONCORD",
"state": "CA",
"postal_code": "945207946",
"telephone_number": "925-288-3916",
"fax_number": "925-646-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 WILLOW PASS RD STE 100",
"city": "CONCORD",
"state": "CA",
"postal_code": "945207946",
"telephone_number": "925-288-3916",
"fax_number": "925-646-5774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "CARDIA",
"middle_name": "MONIQUE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-07",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "LCSW74103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.