Active NPI
Erika F Richardson, LMSW
- Social Worker
- Brentwood, NY
National Provider Identifier
1578074365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 101845-1
- Practice address
- 14 Washington Ave
Brentwood, NY 11717-3247 - Phone
- (631) 617-5300
- Fax
- (888) 272-0686
- NPI assigned
- Oct 19, 2017
- Last updated
- Oct 19, 2017
- 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 | 101845-1 | NY | Primary |
Addresses
Primary practice location
14 Washington Ave
Brentwood, NY 11717-3247
Mailing address
30 Stratton LN
Stony Brook, NY 11790-3222
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 |
|---|---|---|---|
| 101845-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508371200000",
"number": "1578074365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 STRATTON LN",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117903222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 WASHINGTON AVE",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117173247",
"telephone_number": "631-617-5300",
"fax_number": "888-272-0686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "ERIKA",
"middle_name": "F",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-19",
"last_updated": "2017-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "101845-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.