Active NPI
Patricia Richardson MSW, Licsw, LMFT, LTD
- Clinical Social Worker
- Northfield, MN
National Provider Identifier
1861622110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PATRICIA RICHARDSON MSW, LICSW, LMFT, LTD
- Practice address
- 401 Division St S Ste C
Northfield, MN 55057-2096 - Phone
- (507) 645-5644
- Fax
- (507) 645-9291
- NPI assigned
- Jul 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Ann Richardson, MSW, LICSW, LMFT
- Title
- Owner
- Phone
- (507) 645-5644
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
401 Division St S Ste C
Northfield, MN 55057-2096
Mailing address
401 Division St S Ste C
Northfield, MN 55057-2096
Phone (507) 645-5644
National Provider Directory
National Provider DirectoryLocations
401 Division St S
Ste C
Northfield, MN 55057
Phone (507) 645-0444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262822400000",
"number": "1861622110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 DIVISION ST S STE C",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550572096",
"telephone_number": "507-645-5644",
"fax_number": "507-645-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 DIVISION ST S STE C",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550572096",
"telephone_number": "507-645-5644",
"fax_number": "507-645-9291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA RICHARDSON MSW, LICSW, LMFT, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-21",
"last_updated": "2010-01-07",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "507-645-5644",
"authorized_official_credential": "MSW, LICSW, LMFT"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.