Individual provider Active NPI

Shari Richardson, LCSW

  • Clinical Social Worker
  • South Hempstead, NY
National Provider Identifier
1881002806
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082121 Issued in NY
Practice address
674 Willis St
South Hempstead, NY 11550-8036
Phone
(347) 731-2583
Fax
(516) 385-3586
NPI assigned
Jul 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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 082121 NY Primary

Addresses

Primary practice location

674 Willis St
South Hempstead, NY 11550-8036

Mailing address

674 Willis St
South Hempstead, NY 11550-8036
Phone (347) 731-2583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20141022000167 NY Practitioner - Clinical Social Worker 4688895360 Practice locations: South Hempstead, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fostering Resilience Empowerment Success & Hope Clinical CurrentSince Aug 6, 2023 Accepting new patients

Locations

26 Court St
Ste 409
Brooklyn, NY 11242
Phone (212) 405-2685

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1881002806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 WILLIS ST",
            "city": "SOUTH HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508036",
            "telephone_number": "347-731-2583",
            "fax_number": "516-385-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 WILLIS ST",
            "city": "SOUTH HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508036",
            "telephone_number": "347-731-2583",
            "fax_number": "516-385-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SHARI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hempstead, NY

Sources for this page

Verify at the official NPI Registry.