MR. KENNETH L RICHMOND (L.M.S.W.) – Clinical Social Worker, NPI 1245341940

MR. KENNETH L RICHMOND (L.M.S.W.) is a healthcare provider. based in Sparta, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials L.M.S.W.. They hold a License No. 6801064001 (MI). The NPI Number for MR. KENNETH L RICHMOND (L.M.S.W.) is 1245341940

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
MR. KENNETH L RICHMOND (L.M.S.W.)
NPI
1245341940
Phone
(231) 689-7330
Address
1389 INDIAN LAKES RD NE
Enumeration Date
31 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6165148860
Graduation Year
1991 (35 years ago)
PAC ID
0840542445
Professional Enrollment ID
I20181009003634
Address ID
MI495251073GR5270XBXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for MR. KENNETH L RICHMOND (L.M.S.W.)

  • Indian Lakes Road Northwest, Sparta Township, Kent County, Michigan, 49345, United States

    SPARTA, MI 493459504

    Phone: (231) 689-7330

    Fax: (231) 689-7345

    Type: Mailing

  • 1049, East Newell Street, White Cloud, Newaygo County, Michigan, 49349, United States

    BOX 867

    WHITE CLOUD, MI 493498795

    Phone: (231) 689-7330

    Fax: (231) 689-7345

    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: 2018-10-09

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
I20181009003634IClinical Social WorkerMITBD

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 49345)

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Reviews

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Frequently asked questions

What unique ID ties claims to MR. KENNETH L RICHMOND (L.M.S.W.)?
NPI 1245341940 is assigned to MR. KENNETH L RICHMOND (L.M.S.W.) under the national enumeration system.
Is MR. KENNETH L RICHMOND (L.M.S.W.) active in the national directory?
MR. KENNETH L RICHMOND (L.M.S.W.)'s public NPI profile is in an active state.
What kind of provider is MR. KENNETH L RICHMOND (L.M.S.W.)?
The page reflects Clinical Social Worker for MR. KENNETH L RICHMOND (L.M.S.W.). Clinical services aligned with this taxonomy classification.
Where is MR. KENNETH L RICHMOND (L.M.S.W.)'s primary listing?
We display Sparta, Michigan because that is what the record indicates for MR. KENNETH L RICHMOND (L.M.S.W.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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