Jerrion Andrew Richardson, MSSW, LICSW in Minneapolis, MN

Jerrion Andrew Richardson, MSSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Minneapolis, Minnesota. His current practice location is 1614 Harmon Pl Ste 230, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 354-2592.

Jerrion Andrew Richardson is licensed to practice in Minnesota (license number 23353) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225550791.

Contact Information

	Jerrion Andrew Richardson, MSSW, LICSW
	1614 Harmon Pl Ste 230, Minneapolis, MN 55403-1929
	(612) 354-2592
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jerrion Andrew Richardson
Gender	Male
Speciality	Social Worker - Clinical
Location	1614 Harmon Pl Ste 230, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225550791
Provider Enumeration Date: 07/16/2017
Last Update Date: 04/30/2022

Medicare PECOS Information:

PECOS PAC ID: 2668735879
Enrollment ID: I20180420000584

Medical Identifiers

Medical identifiers for Jerrion Andrew Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225550791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	23353 (Minnesota)	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. Jerrion Andrew Richardson allows following entities to bill medicare on his behalf.

Entity Name	Associated Clinic Of Psychology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588741292 PECOS PAC ID: 0749171320 Enrollment ID: O20040323000833

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. Jerrion Andrew 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
Jerrion Andrew Richardson, MSSW, LICSW 4751 3rd St Ne, Fridley, MN 55421-2128 Ph: (612) 354-2592	Jerrion Andrew Richardson, MSSW, LICSW 1614 Harmon Pl Ste 230, Minneapolis, MN 55403-1929 Ph: (612) 354-2592

Reviews and Comments

Social Worker in Minneapolis, MN

Mr. Tim D Sullivan, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Ridgewood Ave, Apartment 112, Minneapolis, MN 55403 Phone: 612-600-7169
Catherine Elaine Schacher, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6138
Don Coleman, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2430 Nicollet Ave, Minneapolis, MN 55404 Phone: 612-871-1454 Fax: 612-871-1505
Nathan Foote, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1100 Glenwood Ave, Minneapolis, MN 55405 Phone: 612-871-1454 Fax: 612-871-1505
Seare Shibeshi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2327 E Franklin Ave Ste 3, Minneapolis, MN 55406 Phone: 612-332-9124
Alex Jacob Hoyt, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496
Elissa J Allen, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 866-603-0016

Jerrion Andrew Richardson, MSSW, LICSW - Medicare Clinical Social Worker in Minneapolis, MN