Active NPI
Alicia Jean Richards, LCSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1639378763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1851
- Practice address
- 5404 N Montana Ave
Portland, OR 97217-4557 - Phone
- (503) 232-0969
- Fax
- (503) 234-2326
- NPI assigned
- Jul 18, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1851 | OR | Primary |
Addresses
Primary practice location
5404 N Montana Ave
Portland, OR 97217-4557
Mailing address
5404 N Montana Ave
Portland, OR 97217-4557
Phone (503) 232-0969
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1851 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1639378763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5404 N MONTANA AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972174557",
"telephone_number": "503-232-0969",
"fax_number": "503-234-2326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5404 N MONTANA AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972174557",
"telephone_number": "503-232-0969",
"fax_number": "503-234-2326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "ALICIA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "1851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.