Pamela Renee Richardson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904014818 Issued in VA

Practice address

391 Hershberger Rd
Roanoke, VA 24012-1983

Phone

(540) 265-2100

NPI assigned

Feb 27, 2023

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 VA

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Friendship Physician Clinic IncGroup PAC ID 2567874571, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Friendship Physician Clinic Inc

  • Primary Care Clinic/Center
  • Roanoke, VA
  • NPI 1366041170
  Medicare reassignment Care Compare group NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1750080974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5647 STARKEY RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240189034",
            "telephone_number": "540-777-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 HERSHBERGER RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121983",
            "telephone_number": "540-265-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Hershberger Rd NW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240121964",
            "country_code": "US",
            "telephone_number": "540-384-5977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 Hershberger Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240121956",
            "country_code": "US",
            "telephone_number": "540-265-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1851 Harrogate Dr",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241532358",
            "country_code": "US",
            "telephone_number": "540-444-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5647 Starkey Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240189034",
            "country_code": "US",
            "telephone_number": "540-777-8485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "PAMELA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard D Smith II DDS PC
• Cynthia Richards, LCSW
• James Ian Richardson
• Jennifer Richardson, PA-C
• Myisha Richardson
• Stephanie Ann Richardson, PA-C
• Summer Elizabeth Richardson
• Richfield Living
• Richfield Living
• Jacqueline Virginia Rickmond, LCSW

• Clinical Social Worker in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.