Active NPI
Casey Richardson, C014375
- Clinical Social Worker
- New Bern, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C014375
- Practice address
- 509 Broad St Ste C
New Bern, NC 28560-4803 - Phone
- (805) 418-0456
- NPI assigned
- Feb 25, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C014375 | NC | Primary |
| Clinical Social Worker | 1041C0700X | P013296 | NC |
Addresses
Primary practice location
509 Broad St Ste C
New Bern, NC 28560-4803
Mailing address
1140 Amberjack CT
New Bern, NC 28562-1019
Phone (805) 418-0456
Other practice location 1
2407 Grace Ave
New Bern, NC 28562-4416
Phone (805) 418-0456
Other practice location 2
1140 Amberjack Ct
New Bern, NC 28562
Phone (805) 418-0456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P013296 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Excellence Behavioral Health Services, PLLC | Clinical | Current | Accepting new patients |
| A Fresh Start Behavioral Health Services, PLLC | Clinical | Current | Accepting new patients |
| Imperial Counseling & Coaching Services, LLC | Clinical | Past | Accepting new patients |
Locations
509 Broad St
Ste C
New Bern, NC 28560
Phone (252) 631-6260
2407 Grace Ave
Trent Woods, NC 28562
Phone (252) 514-7766
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Inner Excellence Behavioral Health PLLC
- Clinical Social Worker
- New Bern, NC
- NPI 1275223950
-
- Clinical Social Worker
- New Bern, NC
- NPI 1710499223
-
- Clinical Social Worker
- 27834, NC
- NPI 1952110561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1972928174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 AMBERJACK CT",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285621019",
"telephone_number": "805-418-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 BROAD ST STE C",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285604803",
"telephone_number": "805-418-0456"
}
],
"practiceLocations": [
{
"address_1": "2407 Grace Ave",
"address_purpose": "LOCATION",
"city": "New Bern",
"state": "NC",
"postal_code": "285624416",
"country_code": "US",
"telephone_number": "805-418-0456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1140 Amberjack Ct",
"address_purpose": "LOCATION",
"city": "New Bern",
"state": "NC",
"postal_code": "28562",
"country_code": "US",
"telephone_number": "805-418-0456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "CASEY",
"credential": "C014375",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-25",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C014375",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P013296",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
- Rha Heatlh Services, Inc.
- Stacey Lynn Rhodes, LCSW
- Cassie Marie Rhone, CRNP
- Riccobene & Associates I, DDS, P.a. (Riccobene Associates Family Dentistry - New Bern)
- Riccobene & Associates Xiii, DDS, P.a. (Brush and Floss Specialty - New Bern)
- Christeanna Winslow Richardson, CPNP-PC
- Donna Lee Richardson, MPT
- Isley Richardson, LCSWA
- Lania Richardson
- Nicole Richardson, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.