Richard Thomforde Kaufman, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · North Reading, MA
NPI 1922100437 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1922100437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 105569-1 (MA)
- Practice address
- 324 Main St
North Reading, MA 01864-1329 - Phone
- (978) 664-2566
- Fax
- (978) 664-8023
- NPI assigned
- Sep 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- 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 Reading
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120125000541 | MA | Practitioner - Clinical Social Worker | 3375457039 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105569-1 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychotherapy Associates of North Reading | Clinical | Current |
Accepting new patients |
Locations
5 Market Sq
Ste 102
Amesbury, MA 01913
Phone (978) 664-2556
58 Concord St
North Reading, MA 01864
Phone (866) 331-3345
324 Main St
North Reading, MA 01864
Phone (978) 664-2566
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 105569-1 | MA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 715821 | Other | MA | TUFTS |
| P03822 | Other | MA | BC/BS |
| 1898221 | Medicaid | MA | |
| 002601 | Other | MA | VALUE OPTIONS |
| 055610000 | Other | MA | MAGELLAN |
Other providers in North Reading, MA
- J Steven Tonelli DMD & Mark G Webster DDS Partnership
- Jimmerson Eyecare
- Carmen Johnson
- Sheela Kaithamattam
- Kathryn Moulison Physical Therapy LLC
- Megan Keyes
- Katelyn Patricia Keys
- Kidspeak Speech Therapy, LLC
- Karen Elizabeth Kiley-Brabeck
- Cheryl Kronhaus
All providers in North Reading, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.