JESSICA RICHARDSON (LCSW) – Clinical Social Worker, NPI 1245489350

JESSICA RICHARDSON (LCSW) is a healthcare provider. based in Paragould, Arkansas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. The NPI Number for JESSICA RICHARDSON (LCSW) is 1245489350

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA RICHARDSON (LCSW)
NPI
1245489350
Phone
(870) 236-5880
Address
2420 Linwood Dr Ste 1
Enumeration Date
12 September 2008
Last Update Date
8 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8706044455
Graduation Year
2008 (18 years ago)
PAC ID
0941552079
Group Practice PAC ID
3577951581
Professional Enrollment ID
I20181017002814
Address ID
AR724505365PA1707XDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:17State licenses:0Digital endpointsOther names

681 CLINICAL SOCIAL WORKER in AR

Provider Addresses for JESSICA RICHARDSON (LCSW)

  • 2420 Linwood Dr Ste 1

    Paragould, AR 724506122

    Phone: (870) 236-5880

    Type: Location

  • 1707 LINWOOD DR STE B

    PARAGOULD, AR 724505365

    Phone: (870) 604-4455

    Type: Mailing

  • 2809, Forest Home Road, Jonesboro, Craighead County, Arkansas, 72401, United States

    JONESBORO, AR 724015320

    Phone: (866) 972-1268

    Type: Mailing

  • Linwood Drive, Green High, Paragould, Greene County, Arkansas, United States

    PARAGOULD, AR 724506122

    Phone: (870) 236-5880

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-17

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181017002814IClinical Social WorkerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72450)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577951581View full group profile
NameSpecialtyState
Mental Health CounselorAR
Mental Health CounselorAR
Clinical Social WorkerAR
Mental Health CounselorAR
Clinical Social WorkerAR
Clinical Social WorkerAR
Nurse PractitionerAR
Mental Health CounselorAR
Clinical Social WorkerAR
Clinical Social WorkerAR

Reviews

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Frequently asked questions

What NPI should I save for JESSICA RICHARDSON (LCSW)?
Save NPI 1245489350 if you need a stable reference for JESSICA RICHARDSON (LCSW).
Is JESSICA RICHARDSON (LCSW) currently active in the NPI registry?
CMS-published data lists JESSICA RICHARDSON (LCSW) as an active registrant.
What does JESSICA RICHARDSON (LCSW) treat or focus on?
Patients typically see JESSICA RICHARDSON (LCSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for JESSICA RICHARDSON (LCSW)?
The page summarizes Paragould, Arkansas for JESSICA RICHARDSON (LCSW); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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