Individual provider Active NPI

Richard Thomforde Kaufman, MSW, LICSW

  • Clinical Social Worker
  • North Reading, MA
National Provider Identifier
1922100437
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105569-1 Issued in MA
Practice address
324 Main St
North Reading, MA 01864-1329
Phone
(978) 664-2566
Fax
(978) 664-8023
NPI assigned
Sep 4, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 105569-1 MA Primary

Addresses

Primary practice location

324 Main St
North Reading, MA 01864-1329

Mailing address

324 Main St
North Reading, MA 01864-1329
Phone (978) 664-2566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20120125000541 MA Practitioner - Clinical Social Worker 3375457039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychotherapy Associates of North ReadingGroup PAC ID 5395659049, 8 clinicians

Practice addresses (Care Compare)

5 Market SQ
Amesbury, MA 01913-2405
Phone (978) 664-2566

58 Concord St
North Reading, MA 01864-2602
Phone (978) 664-2566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105569-1MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy Associates of North Reading Clinical CurrentSince Jul 1, 1990 Accepting new patients

Locations

5 Market Sq
Ste 102
Amesbury, MA 01913
Phone (978) 664-2556

324 Main St
North Reading, MA 01864
Phone (978) 664-2566

58 Concord St
North Reading, MA 01864
Phone (866) 331-3345

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922100437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 MAIN ST",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018641329",
            "telephone_number": "978-664-2566",
            "fax_number": "978-664-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 MAIN ST",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018641329",
            "telephone_number": "978-664-2566",
            "fax_number": "978-664-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "RICHARD",
        "middle_name": "THOMFORDE",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105569-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Reading, MA

Sources for this page

Verify at the official NPI Registry.