Angie Rachel Richard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018749 Issued in PA

Practice address

485 Berlin Plank Rd
Somerset, PA 15501-2069

Phone

(814) 701-2898

Fax

(814) 701-2917

NPI assigned

Jan 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Croyle-Nielsen Therapeutic Associates IncGroup PAC ID 7214162916, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Croyle-Nielsen Therapeutic Associates, Inc.

  • Clinical Social Worker
  • Johnstown, PA
  • NPI 1770928731
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1992075543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 BERLIN PLANK RD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012069",
            "telephone_number": "814-701-2898",
            "fax_number": "814-701-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 BERLIN PLANK RD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012069",
            "telephone_number": "814-701-2898",
            "fax_number": "814-701-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "ANGIE",
        "middle_name": "RACHEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revive Lymphatics LLC
• Nicole Marie Rhodes, MS, RD, LDN
• Kayla Danielle Rice, DPT
• Richard D. Grebosky D.P.M., P.C.
• Richard Irwin OD
• Deborah Richards, PTA
• Donna K Roadman
• Richard D. Robbins, D.M.D., M.D.S.
• Brittney Marie Roberts
• Rocky Mountain Holdings, LLC

• Clinical Social Worker in Somerset, PA
• Providers in Somerset, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.