ERIN NICOLE RICHARDSON (LCSW) – Social Worker, NPI 1396297370

ERIN NICOLE RICHARDSON (LCSW) is a healthcare provider. based in Rockford, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149018793 (IL). The NPI Number for ERIN NICOLE RICHARDSON (LCSW) is 1396297370

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ERIN NICOLE RICHARDSON (LCSW)
NPI
1396297370
Phone
(815) 988-8500
Address
4215 Newburg Rd
Enumeration Date
26 October 2016
Last Update Date
14 November 2025

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
6308932210
Graduation Year
2011 (15 years ago)
PAC ID
0941589998
Group Practice PAC ID
5496667941
Professional Enrollment ID
I20161114002365
Address ID
IL601082201BL30XXXDRXX300
Telehealth
Yes

Contacts

Secure Messaging
erichardson312705@dulyhealthandcare.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness95
Years active:9State licenses:1Other names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for ERIN NICOLE RICHARDSON (LCSW)

  • 4215 Newburg Rd

    Rockford, IL 611086479

    Phone: (815) 988-8500

    Fax: (815) 977-5956

    Type: Location

  • PO BOX 713260

    CHICAGO, IL 606771260

    Phone: (630) 469-9200

    Type: Mailing

  • 1000, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    SUITE 100

    BOLINGBROOK, IL 604405114

    Phone: (630) 914-2714

    Type: Mailing

  • Weber Road, Romeoville, Will County, Illinois, 60403, United States

    ROMEOVILLE, IL 60446

    Phone: (815) 773-7827

    Type: Location

  • 4215 NEWBURG RD

    ROCKFORD, IL 611086479

    Phone: (815) 988-8500

    Fax: (815) 977-5956

    Type: Mailing

  • 640 S WASHINGTON ST STE 180

    NAPERVILLE, IL 605406775

    Phone: (815) 942-6323

    Fax: (815) 942-6363

    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: 2016-11-14

PECOS data refreshed: 2026-05-27

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
I20161114002365IClinical Social WorkerILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour16319$0
View full utilization report →

Insurance plans in this area (ZIP 61108)

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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: 5496667941View full group profile
NameSpecialtyState
E N D O C R I N O L O G YIL
Physician AssistantIL
Internal MedicineIL
Nurse PractitionerIL
-IL
-IL
-IL
-IL
-IL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Is ERIN NICOLE RICHARDSON (LCSW) listed with a National Provider Identifier?
Yes — ERIN NICOLE RICHARDSON (LCSW) has NPI 1396297370 on file in the registry.
Is ERIN NICOLE RICHARDSON (LCSW) shown as active in public data?
Registry records indicate ERIN NICOLE RICHARDSON (LCSW) maintains an active NPI.
What kind of doctor is ERIN NICOLE RICHARDSON (LCSW)?
ERIN NICOLE RICHARDSON (LCSW) is associated with Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is ERIN NICOLE RICHARDSON (LCSW) located near Rockford?
ERIN NICOLE RICHARDSON (LCSW) currently maps to Rockford, Illinois in this extract.
When was this NPI issued?
Enumeration for ERIN NICOLE RICHARDSON (LCSW) is noted as October 26, 2016 where the registry provides it.

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