Active NPI
Carmela Altamses Richardson, LLMSW,LPN
- Social Worker
- Southfield, MI
National Provider Identifier
1952541872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0701223
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| S.0701223 | OH | MD | Social Worker |
| 6801094881 | MI | MD | Clinical Social Worker |
| 4703112909 | MI | MD | Licensed Practical Nurse |
| PN.091680 | OH | MD | Licensed 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.