Cynthia M Richards, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60940916 Issued in WA

Practice address

603 N Montclair Way
Nixa, MO 65714-7892

Phone

(208) 449-7221

NPI assigned

Jun 25, 2019

Sex

Female

Sole proprietor

Yes

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1649831165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N MONTCLAIR WAY",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147892",
            "telephone_number": "866-605-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N MONTCLAIR WAY",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147892",
            "telephone_number": "208-449-7221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 N Vercler Rd",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161020",
            "country_code": "US",
            "telephone_number": "509-228-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5815 N Hermosa Cir",
            "address_purpose": "LOCATION",
            "city": "Otis Orchards",
            "state": "WA",
            "postal_code": "990278278",
            "country_code": "US",
            "telephone_number": "208-449-7221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60940916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Renal Care Group of the Midwest, Inc. (Renal Care Group Nixa)
• Kathleen G Rice, MD
• Elena Chong Rieth, O.T.
• Jason Eric Riley
• Amber Roach
• Gail Roberson-Fatino, LPC
• Brandi Michelle Robertson

• Clinical Social Worker in Nixa, MO
• Providers in Nixa, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.