Individual provider Active NPI

David Richards

  • Clinical Social Worker
  • Lancaster, CA
National Provider Identifier
1689833113
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108983 Issued in CA
Practice address
44349 Lowtree Ave Ste 111
Lancaster, CA 93534-4104
Phone
(661) 618-6280
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 94742 CA
Clinical Social Worker 1041C0700X 108983 CA Primary

Addresses

Primary practice location

44349 Lowtree Ave Ste 111
Lancaster, CA 93534-4104

Mailing address

37315 Dalzell St
Palmdale, CA 93550-6464
Phone (661) 618-6280

Other practice location 1

37315 Dalzell St
Palmdale, CA 93550-6464
Phone (661) 618-6280

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
108983CAMDClinical Social Worker
94742CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Changing the Cycle 2 Licensed Clinical Social Worker, Inc. CurrentSince Jun 1, 2024 Accepting new patients

Locations

44349 Lowtree Ave
Ste 111
Lancaster, CA 93534
Phone (661) 228-0567

Organizations & group practices 1

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1689833113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37315 DALZELL ST",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935506464",
            "telephone_number": "661-618-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44349 LOWTREE AVE STE 111",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344104",
            "telephone_number": "661-618-6280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37315 Dalzell St",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935506464",
            "country_code": "US",
            "telephone_number": "661-618-6280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "94742",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "108983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.