Individual provider Active NPI

Bridget Simone Richard, LISW-S

  • Clinical Social Worker
  • Medina, OH
National Provider Identifier
1851533673
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
323 S Court St Ste 210
Medina, OH 44256-3715
Phone
(330) 331-5800
Fax
(330) 331-5805
NPI assigned
Mar 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X OH Primary

Addresses

Primary practice location

323 S Court St Ste 210
Medina, OH 44256-3715

Mailing address

PO Box 360823
Strongsville, OH 44136-0014
Phone (330) 331-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20090623000346 OH Practitioner - Clinical Social Worker 9739230202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lamplight Counseling Services LLCGroup PAC ID 7113233750, 7 clinicians

Practice addresses (Care Compare)

4015 Medina Rd
Suite 90
Medina, OH 44256-5970
Phone 33033158005970

6133 Rockside Rd
Suite 403
Independence, OH 44131-2244
Phone (216) 455-5571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1851533673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360823",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441360014",
            "telephone_number": "330-331-5800",
            "fax_number": "330-331-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S COURT ST STE 210",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563715",
            "telephone_number": "330-331-5800",
            "fax_number": "330-331-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "BRIDGET",
        "middle_name": "SIMONE",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.