Individual provider Active NPI

Keith Richter, LCSW

  • Clinical Social Worker
  • Essex, CT
National Provider Identifier
1972558716
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005287 Issued in CT
Practice address
180 Westbrook Rd
Essex, CT 06426-1517
Phone
(860) 767-2025
Fax
(860) 767-1053
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2016

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 005287 CT Primary

Addresses

Primary practice location

180 Westbrook Rd
Essex, CT 06426-1517

Mailing address

222 Main Street Ext
PO Box 1000
Middletown, CT 06457-4406
Phone (860) 343-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050615000242 CT Practitioner - Clinical Social Worker 7214971852 Reassigns benefits to 2 organizations
Practice locations: North Haven, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rushford Center IncGroup PAC ID 1153227756, 26 clinicians

Practice addresses (Care Compare)

883 Paddock Ave
Meriden, CT 06450-7044
Phone (203) 630-5220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005287CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Oct 5, 2020 Accepting new patients
Rushford Center, Inc. Clinical CurrentSince Jan 10, 2011 Accepting new patients
Gilead Community Services, Inc. Past Accepting new patients

Locations

883 Paddock Ave
Meriden, CT 06450
Phone (203) 630-5220

80 Fern Dr
Torrington, CT 06790
Phone (203) 294-7300

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Interoperability endpoints

  • Direct secure messaging: keitha.richter@xdr.hhchealthdirect.org

Organizations & group practices 3

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1972558716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MAIN STREET EXT",
            "address_2": "PO BOX 1000",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574406",
            "telephone_number": "860-343-5300",
            "fax_number": "860-343-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WESTBROOK RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261517",
            "telephone_number": "860-767-2025",
            "fax_number": "860-767-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "KEITH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, CT

Sources for this page

Verify at the official NPI Registry.