Jennifer Richard, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

006856 Issued in IA

Practice address

1035 Lincoln Rd Ste 100
Bettendorf, IA 52722-4149

Phone

(634) 470-5775

NPI assigned

Mar 30, 2016

Last updated

Jul 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not 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.

• Serenity Mental Health Therapy LLC

  • Clinical Social Worker
  • Davenport, IA
  • NPI 1396301925
  NPD

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1730542523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 LINCOLN RD STE 100",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224149",
            "telephone_number": "634-470-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 LINCOLN RD STE 100",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224149",
            "telephone_number": "634-470-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "JENNIFER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "006856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rheumatology Associates, PC
• Eduardo L Ricaurte, MD
• William L Rice, T-LMHC
• Richard D. Nelson, DDS PC
• Jay J Richard, PT
• Miranda Riegel, DO
• Michael James Ringblum, O.D.
• Jenna M Ringsdorf, RPH
• Peter C Rink, D.O.
• Karla Rippchen, RD, RDN, MMGT

• Social Worker in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.