Active NPI
Suzanne Richards, LCSW
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1720092893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 273
- Practice address
- 300 W Broadway St
Suite 2
Missoula, MT 59802-4126 - Phone
- (406) 728-2509
- Fax
- (406) 543-1290
- NPI assigned
- Jul 27, 2006
- 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 | 273 | MT | Primary |
Addresses
Primary practice location
300 W Broadway St
Suite 2
Missoula, MT 59802-4126
Mailing address
PO Box 9433
Missoula, MT 59807-9433
Phone (406) 728-2509
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070421 | Other | MT | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 W Broadway St
Suite 2
Missoula, MT 59802-4126
Phone (406) 899-0522
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 273 | MT | MD | Clinical Social Worker |
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.
-
- Clinical Psychologist
- Missoula, MT
- NPI 1437309424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1720092893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9433",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598079433",
"telephone_number": "406-728-2509",
"fax_number": "406-543-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W BROADWAY ST",
"address_2": "SUITE 2",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024126",
"telephone_number": "406-728-2509",
"fax_number": "406-543-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "SUZANNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "070421",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.