Gerald Richardson, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150114911 Issued in IL

Practice address

23909 W Renwick Rd Ste 115
Plainfield, IL 60544-2109

Phone

(815) 714-8847

NPI assigned

Jan 3, 2025

Sex

Male

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

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.

• MGMT Therapeutic Services

  • Community/Behavioral Health Agency
  • Joliet, IL
  • NPI 1538833694
  NPD (past)

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1831908813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23909 W RENWICK RD STE 115",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442109",
            "telephone_number": "815-714-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23909 W RENWICK RD STE 115",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442109",
            "telephone_number": "815-714-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "GERALD",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150114911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yazmine Reynolds
• Rezin Orthopedic and Sports Medicine (Vital Care Physical Therapy)
• Rezin Orthopedics and Sports Medicine, SC (Vital Care Physical Therapy)
• Maureen Rich, DT
• Curtis Richardson
• Richart Health Services, LTD. (Richart Sports & Spinal Rehab)
• Hal Richart, DC
• Deanne Laurette Richter
• Carrie Ann Riebe
• Molly Rikas, PT

• Social Worker in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.