MRS. ANGELICA DANIEL RICHARD LCSW
NPI 1356075832
Social Worker - Clinical in Fort Worth, TX

Active since July 12, 2022Opted out of Medicare · through Feb 22, 2028
4500 MERCANTILE PLAZA DR STE 307, FORT WORTH, TX 76137(817) 232-9400(817) 232-9403 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2024, Jul 12, 2022 (2 updates tracked since 2022).

About Mrs. Angelica Daniel Richard Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANGELICA DANIEL RICHARD LCSW (NPI 1356075832) is an individual clinical provider in Fort Worth, Texas, licensed in Texas (62179) and active in the NPI registry since July 2022. She has opted out of Medicare through February 22, 2028.

NPPES Registry Identity

NPI1356075832
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. ANGELICA DANIEL RICHARDCredential: LCSW
Location Address4500 MERCANTILE PLAZA DR STE 307Fort Worth, TX 76137-4230
Mailing Address5408 Grayson Ridge DrFort Worth, TX 76179-7111 · (469) 964-5984
Fax(817) 232-9403
Sole ProprietorYes
Enumeration DateJuly 12, 2022
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2024
NPI 1356075832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in TX · 62179
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselorTaxonomy 101Y00000X · License 62179 (TX)
4500 MERCANTILE PLAZA DR STE 307, Fort Worth, TX 76137

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Angelica Daniel Richard Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 22, 2024 through February 22, 2028.

Opt-Out Effective DateFebruary 22, 2024
Opt-Out In Effect ThroughFebruary 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
4500 MERCANTILE PLAZA DR STE 307
FORT WORTH, TX 76137
Counselor (Professional)
4500 MERCANTILE PLAZA DR STE 307
FORT WORTH, TX 76137
Marriage & Family Therapist
4500 MERCANTILE PLAZA DR STE 307
FORT WORTH, TX 76137
Marriage & Family Therapist
4500 MERCANTILE PLAZA DR STE 307
FORT WORTH, TX 76137
Social Worker (Clinical)
4500 MERCANTILE PLAZA DR STE 307
FORT WORTH, TX 76137
Counselor (Professional)
4500 MERCANTILE PLAZA DR STE 307
FORT WORTH, TX 76137
Counselor
4500 MERCANTILE PLAZA DR STE 307
FT WORTH, TX 76137
Counselor (Professional)
4500 MERCANTILE PLAZA DR STE 307
FORT WORTH, TX 76137

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelica Richard's NPI number?

The NPI number for Angelica Richard is 1356075832. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Angelica Richard located?

Angelica Richard practices at 4500 Mercantile Plaza Dr Ste 307, Fort Worth, TX 76137. The listed phone number is (817) 232-9400.

What is Angelica Richard's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Angelica Richard enrolled in Medicare?

No. Angelica Richard has opted out of Medicare through February 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Angelica Richard accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Angelica Richard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angelica Richard was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.