Individual provider Active NPI

Carmela Altamses Richardson, LLMSW,LPN

  • Social Worker
  • Southfield, MI
National Provider Identifier
1952541872
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.0701223 Issued in OH
Practice address
25127 Lindenwood LN
Southfield, MI 48033-6189
Phone
(216) 215-8522
NPI assigned
Mar 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703112909 MI
Clinical Social Worker 1041C0700X 6801094881 MI
Social Worker 104100000X S.0701223 OH Primary
Licensed Practical Nurse 164W00000X PN.091680 OH

Addresses

Primary practice location

25127 Lindenwood LN
Southfield, MI 48033-6189

Mailing address

2900 Conner St
Detroit, MI 48215-2407
Phone (313) 308-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.0701223OHMDSocial Worker
6801094881MIMDClinical Social Worker
4703112909MIMDLicensed Practical Nurse
PN.091680OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1952541872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CONNER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152407",
            "telephone_number": "313-308-1400",
            "fax_number": "313-308-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25127 LINDENWOOD LN",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480336189",
            "telephone_number": "216-215-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CARMELA",
        "middle_name": "ALTAMSES",
        "name_prefix": "Mrs.",
        "credential": "LLMSW,LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703112909",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094881",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0701223",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.091680",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.