Jennifer Richter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004588 Issued in GA

Practice address

904 Mount Vernon Rd Ste a
Vidalia, GA 30474-3043

Phone

(912) 537-0063

Fax

(912) 537-2005

NPI assigned

Sep 5, 2023

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1568248557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2277",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304752277",
            "telephone_number": "912-537-0063",
            "fax_number": "912-537-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 MOUNT VERNON RD STE A",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304743043",
            "telephone_number": "912-537-0063",
            "fax_number": "912-537-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Jazman Reese, LPN
• Restore Metabolix of Vidalia (Restor Metabolix of Vidalia)
• Restore Wellness and Aesthetics
• Heidi Marie Reuschling, DC
• Walter J Revell Jr., MD
• Amanda Dawn Rizzo, M. ED. , BCBA
• Robert B Clark Jr MD LLC
• Robert S Riddick MDPC (Riddick Surgical Services)
• Michael David Robinson, MD
• John W Robison, MD

• Clinical Social Worker in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.