Michael Richard Jr., LCSW, CCTP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW22330 Issued in FL

Practice address

603 E Fort King St Ste 26
Ocala, FL 34471-2235

Phone

(352) 653-7255

NPI assigned

Dec 7, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Calm Mind Clinic, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ocala, FL
  • NPI 1104670637
  NPD Authorized official

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1992572168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E FORT KING ST STE 26",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712235",
            "telephone_number": "352-653-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E FORT KING ST STE 26",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712235",
            "telephone_number": "352-653-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW, CCTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW22330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Joseph Ricca
• Michael Rice
• Richard E. Promin, MD.PA
• Charlotte Richard
• Courtney Richard, PTA
• Winston Thomas Richards, MD
• Annie Abram Richardson, CNA
• Brittney Richardson, REGISTERED NURSE
• Felicia Richardson
• Megan Lynn Richardson, ARNP

• Clinical Social Worker in Ocala, FL
• Providers in Ocala, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.