Individual provider Active NPI

Sarah J Richards, LLMSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1689716482
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087052 Issued in MI
Practice address
6687 Seeco Dr
Kalamazoo, MI 49009-5970
Phone
(269) 372-8800
Fax
(269) 372-8855
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801087052 MI Primary

Addresses

Primary practice location

6687 Seeco Dr
Kalamazoo, MI 49009-5970

Mailing address

6687 Seeco Dr
Kalamazoo, MI 49009-5970
Phone (269) 372-8800

Other identifiers 1

IdentifierTypeStateIssuer
1041C0700XOtherMITAXONOMY

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

LicenseStateTypeSpecialty
6801087052MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Christian Service Clinical Past Accepting new patients
Bethany Christian Serv Ices Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1689716482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6687 SEECO DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095970",
            "telephone_number": "269-372-8800",
            "fax_number": "269-372-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6687 SEECO DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095970",
            "telephone_number": "269-372-8800",
            "fax_number": "269-372-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "SARAH",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "1041C0700X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.