Individual provider Active NPI

Sharon M Richards, LCSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1891986436
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3243 Issued in OR
Practice address
1735 NE 11TH St
Bend, OR 97701-4105
Phone
(541) 598-4210
NPI assigned
Aug 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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 L3243 OR Primary

Addresses

Primary practice location

1735 NE 11TH St
Bend, OR 97701-4105

Mailing address

1735 NE 11TH St
Bend, OR 97701-4105
Phone (541) 598-4210

Other names 1

  • Sharon M Hunter-Richards Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20071002000204 OR Practitioner - Clinical Social Worker 7517052806 Practice locations: Bend, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L3243ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon Richards, LCSW Clinical CurrentSince Aug 29, 2018 Accepting new patients
Lee Painter LCSW LLC Clinical PastSince Jan 19, 2019 Accepting new patients
Hansen Counseling LTD Clinical Past Accepting new patients

Organizations & group practices 3

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1891986436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 NE 11TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014105",
            "telephone_number": "541-598-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 NE 11TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014105",
            "telephone_number": "541-598-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "SHARON",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "HUNTER-RICHARDS",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.