Individual provider Active NPI

Robert Harry Richardson, LMSW

  • Social Worker
  • Bay Shore, NY
National Provider Identifier
1972819910
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
077972 Issued in NY
Practice address
269 W Main St
2ND Floor
Bay Shore, NY 11706-8319
Phone
(631) 666-1951
Fax
(631) 593-5472
NPI assigned
Aug 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 077972 NY Primary

Addresses

Primary practice location

269 W Main St
2ND Floor
Bay Shore, NY 11706-8319

Mailing address

34 Fire Road Dr
Bay Shore, NY 11706-3947
Phone (631) 666-1951

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

Practice roles

OrganizationSpecialtyStatusNew patients
Butterfly LCSW PC Social Worker Past Accepting new patients
Butterfly Clinical Inc. Social Worker Past Accepting new patients

Organizations & group practices 2

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": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1972819910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 FIRE ROAD DR",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063947",
            "telephone_number": "631-666-1951",
            "fax_number": "631-593-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 W MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068319",
            "telephone_number": "631-666-1951",
            "fax_number": "631-593-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ROBERT",
        "middle_name": "HARRY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "077972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.