Active NPI
Susan Beth Richards, LISW
- Clinical Social Worker
- Sioux City, IA
National Provider Identifier
1902032840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06329
- Practice address
- 600 4TH St
Suite 501
Sioux City, IA 51101-1750 - Phone
- (712) 234-0220
- Fax
- (712) 234-0225
- NPI assigned
- Jun 5, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 06329 | IA | Primary |
Addresses
Primary practice location
600 4TH St
Suite 501
Sioux City, IA 51101-1750
Mailing address
600 4TH St
Suite 501
Sioux City, IA 51101-1750
Phone (712) 234-0220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06329 | Other | IA | IA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 4TH St
Suite 501
Sioux City, IA 51101-1606
Phone (712) 234-0220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06329 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates for Psychiatric Services PC | Clinical | Current | Accepting new patients |
| Ven Mental Health and TMS Clinic LLC | Clinical | Current | Accepting new patients |
Locations
600 4th St
Ste 501
Sioux City, IA 51101
Phone (712) 234-0220
Organizations & group practices 2
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": "1244160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1902032840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 4TH ST",
"address_2": "SUITE 501",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011750",
"telephone_number": "712-234-0220",
"fax_number": "712-234-0225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 4TH ST",
"address_2": "SUITE 501",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011750",
"telephone_number": "712-234-0220",
"fax_number": "712-234-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "SUSAN",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-05",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "06329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA LICENSE",
"identifier": "06329",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.