Organization Active NPI

Patricia Richardson MSW, Licsw, LMFT, LTD

  • Clinical Social Worker
  • Northfield, MN
National Provider Identifier
1861622110
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jan 7, 2010

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.