Active NPI
Kayla Richardson, LMSW
- Social Worker
- Montpelier, VT
National Provider Identifier
1568118933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 156.0133925
- Practice address
- 73 Main Street
Montpelier, VT 05602-2932 - Phone
- (802) 225-8355
- Fax
- (802) 223-8105
- NPI assigned
- Feb 24, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 156.0133925 | VT | Primary |
Addresses
Primary practice location
73 Main Street
Montpelier, VT 05602-2932
Mailing address
PO Box 647
Montpelier, VT 05601-0647
Phone (802) 225-8355
Other practice location 1
65 Portland St
Morrisville, VT 05661-7403
Phone (802) 888-0079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6709352 | Medicaid | VT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | azzly | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 156.0133925 | VT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1568118933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 647",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056010647",
"telephone_number": "802-225-8355",
"fax_number": "802-223-8105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 MAIN STREET",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056022932",
"telephone_number": "802-225-8355",
"fax_number": "802-223-8105"
}
],
"practiceLocations": [
{
"address_1": "65 Portland St",
"address_purpose": "LOCATION",
"city": "Morrisville",
"state": "VT",
"postal_code": "056617403",
"country_code": "US",
"telephone_number": "802-888-0079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "KAYLA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-24",
"last_updated": "2024-08-09",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VT",
"license": "156.0133925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6709352",
"state": "VT"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "azzly",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "secure EHR fax",
"address_1": "73 Main St",
"city": "Montpelier",
"state": "VT",
"country_code": "US",
"postal_code": "056022932",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Montpelier, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.