Active NPI
Patricia A Richeson, LCSW
- Clinical Social Worker
- Deland, FL
National Provider Identifier
1891269247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW13613
- Practice address
- 333 W Wisconsin Ave
Deland, FL 32720-4132 - Phone
- (386) 734-3101
- NPI assigned
- Jan 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW13613 | FL | Primary |
Addresses
Primary practice location
333 W Wisconsin Ave
Deland, FL 32720-4132
Mailing address
721 W Minnesota Ave
Deland, FL 32720-3201
Phone (781) 640-1654
Other practice location 1
721 W Minnesota Ave
Deland, FL 32720-3201
Phone (781) 640-1654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
721 W Minnesota Ave
Deland, FL 32720-3201
Phone (781) 640-1654
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW13613 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biopsychosocial Counseling, LLC | Current | Accepting new patients |
Locations
333 W Wisconsin Ave
Deland, FL 32720
Phone (386) 337-4308
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.
-
- Community/Behavioral Health Agency
- Deland, FL
- NPI 1568028116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1891269247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 W MINNESOTA AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327203201",
"telephone_number": "781-640-1654",
"fax_number": "386-279-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W WISCONSIN AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327204132",
"telephone_number": "386-734-3101"
}
],
"practiceLocations": [
{
"address_1": "721 W Minnesota Ave",
"address_purpose": "LOCATION",
"city": "Deland",
"state": "FL",
"postal_code": "327203201",
"country_code": "US",
"telephone_number": "781-640-1654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHESON",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-18",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW13613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.