DR. CLAIRISSA RICHARDSON DSW, LCSW
NPI 1619488806
Social Worker - Clinical in Tyndall Afb, FL

Active since October 16, 2017PECOS Enrolled
340 MAGNOLIA CIR, TYNDALL AFB, FL 32403(850) 283-2778 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2025, May 3, 2022, Mar 30, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Clairissa Richardson Dsw, Lcsw NPPES

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

DR. CLAIRISSA RICHARDSON DSW, LCSW (NPI 1619488806) is an individual clinical provider in Tyndall Afb, Florida, licensed in Florida (SW14856) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619488806
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. CLAIRISSA RICHARDSONCredential: DSW, LCSW
Location Address340 MAGNOLIA CIRTyndall Afb, FL 32403-5604
Mailing Address340 Magnolia CirTyndall Afb, FL 32403-5604 · (850) 283-2778
Sole ProprietorYes
Enumeration DateOctober 16, 2017
Last NPPES UpdateJune 24, 20254 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
NPI 1619488806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in FL · SW14856
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.
340 MAGNOLIA CIR, Tyndall Afb, FL 32403

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Clairissa Richardson Dsw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Dentist (Orofacial Pain)
340 MAGNOLIA CIR
TYNDALL AFB, FL 32403
Military Health Care Provider (Independent Duty Medical Technicians)
340 MAGNOLIA CIR
TYNDALL AFB, FL 32403
Clinic/Center
340 MAGNOLIA CIR
TYNDALL AFB, FL 32403
Preventive Medicine (Aerospace Medicine)
340 MAGNOLIA CIR
TYNDALL AFB, FL 32403
Physical Therapy Assistant
340 MAGNOLIA CIR
PANAMA CITY, FL 32403
Psychologist (Clinical)
340 MAGNOLIA CIR
TYNDALL AFB, FL 32403
Clinic/Center (Military/U.S. Coast Guard Outpatient)
340 MAGNOLIA CIR
PANAMA CITY, FL 32403
Pharmacist
340 MAGNOLIA CIR
TYNDALL AFB, FL 32403

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 Clairissa Richardson's NPI number?

The NPI number for Clairissa Richardson is 1619488806. It was assigned to this individual provider in the NPPES registry on October 16, 2017.

Where is Clairissa Richardson located?

Clairissa Richardson practices at 340 Magnolia Cir, Tyndall Afb, FL 32403. The listed phone number is (850) 283-2778.

What is Clairissa Richardson's specialty?

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

Is Clairissa Richardson enrolled in Medicare?

Yes. Clairissa Richardson is registered in the Medicare PECOS enrollment system.

What insurance does Clairissa Richardson accept?

Health plans from Ambetter Health, Ambetter of Alabama, Providence Health Plan and UnitedHealthcare list Clairissa Richardson 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 Clairissa Richardson was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.