Marc D. Richter, LICSW, LADC, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089-0000658 Issued in VT

Practice address

2 Church St
Suite 3G
Burlington, VT 05401-4299

Phone

(866) 429-2074

Fax

(802) 540-8199

NPI assigned

Feb 2, 2007

Last updated

Nov 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Charles Corbally PLLC

  • Clinical Social Worker
  • Burlington, VT
  • NPI 1063921740
  NPD (past)
• Vermont Neuropsychology LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burlington, VT
  • NPI 1437764974
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1982742714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 CARPENTER RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459281",
            "telephone_number": "802-425-7771",
            "fax_number": "802-540-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHURCH ST",
            "address_2": "SUITE 3G",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014299",
            "telephone_number": "866-429-2074",
            "fax_number": "802-540-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "MARC",
        "middle_name": "D.",
        "credential": "LICSW, LADC, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000372",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "103704",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0000658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN2410",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Richard, SLP
• Corey Richardson, LICSW
• Toby Richman, PT
• Barbara Richmond, M.A.
• Deborah Richter, MD
• Daniel H Riddick, MD
• Marianne Everett Rideout, MD
• Andrew Richard Ridinger, MD
• Tess Rielley, ORT/L
• Tamara Rimash, M.D.

• Clinical Social Worker in Burlington, VT
• Providers in Burlington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.

Verify at the official NPI Registry.