Dr Clairissa Richardson, DSW, LCSW in Tyndall Afb, FL - Medicare Clinical Social Worker Provider

Dr Clairissa Richardson, DSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tyndall Afb, Florida. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 340 Magnolia Cir, Tyndall Afb, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 283-2778.

Dr Clairissa Richardson is licensed to practice in Florida (license number SW14856) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1619488806.

Contact Information

	Dr Clairissa Richardson, DSW, LCSW
	340 Magnolia Cir, Tyndall Afb, FL 32403-5604
	(850) 283-2778
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Clairissa Richardson
Gender	Female
Speciality	Clinical Social Worker
Experience	12 Years
Location	340 Magnolia Cir, Tyndall Afb, Florida
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Clairissa Richardson graduated from medical school in 2014

NPI Data:

NPI Number: 1619488806
Provider Enumeration Date: 10/16/2017
Last Update Date: 06/24/2025

Medicare PECOS Information:

PECOS PAC ID: 0244620920
Enrollment ID: I20230220002762

Medical Identifiers

Medical identifiers for Dr Clairissa Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619488806	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW14856 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Clairissa Richardson allows following entities to bill medicare on her behalf.

Entity Name	Life Management Center Of Northwest Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508854571 PECOS PAC ID: 9739162371 Enrollment ID: O20040612000387

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Clairissa Richardson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Clairissa Richardson, DSW, LCSW 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 Ph: (850) 283-2778	Dr Clairissa Richardson, DSW, LCSW 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 Ph: (850) 283-2778

Reviews and Comments

Social Worker in Tyndall Afb, FL

Melissa Brooks Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 Phone: 850-283-7090
Ashley Ariana-marie Sydnor, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir Bldg 1465, Tyndall Afb, FL 32403 Phone: 501-596-3813
Dr. Walter Edward Calvo, DCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Bldg 1305 Suwannee Ave, Tyndall Afb, FL 32403 Phone: 850-238-7511 Fax: 850-283-7721
Ms. Xhosa R Burford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 850-283-7370 Fax: 850-283-7500
Jae J. Pate, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Circle, 325 Mdos/sgohsf, Tyndall Afb, FL 32404 Phone: 850-283-7511 Fax: 850-283-7721
Amber Merefield, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 850-283-7511
Andrea C Bright, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 Phone: 850-283-7511

Dr Clairissa Richardson, DSW, LCSW - Medicare Clinical Social Worker in Tyndall Afb, FL