Nicole Richardson, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014938 Issued in NC

Practice address

1403 McCarthy Blvd
New Bern, NC 28562-2049

Phone

(252) 633-3855

NPI assigned

Jul 30, 2020

Last updated

Jul 30, 2020By the provider in NPPES

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Place to Start Behavioral Health ServicesGroup PAC ID 4486089026, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Great Place to Start Behavioral Health Services

  • Clinical Social Worker
  • New Bern, NC
  • NPI 1679042683
  Medicare reassignment Care Compare group NPD
• Heila Healing and Wellness

  • Clinical Social Worker
  • New Bern, NC
  • NPI 1245117308
  NPD Authorized official

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1710596176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622049",
            "telephone_number": "252-633-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "NICOLE",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riccobene & Associates Xiii, DDS, P.a. (Brush and Floss Specialty - New Bern)
• Casey Richardson, C014375
• Donna Lee Richardson, MPT
• Isley Richardson, LCSWA
• Lania Richardson
• Andrea Richmond, LMSWA
• Ridgeline New Bern LLC (The Ridge at New Bern)
• Jordan Ridgeway, O.D.
• Megan Ann Riedy, CCC-SLP
• Marc D Rieg, MPT

• Clinical Social Worker in New Bern, NC
• Providers in New Bern, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.