Richard Soper, LCSW is a medicare enrolled "Social Worker - Clinical" provider in St Petersburg, Florida. His current practice location is
7901 4th St N, St Petersburg, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 506-3612.
Richard Soper is licensed to practice in Georgia (license number CSW007597) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386246965.
Healthcare Provider's Profile
| Full Name | Richard Soper |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 7901 4th St N, St Petersburg, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386246965
- Provider Enumeration Date: 11/10/2020
- Last Update Date: 06/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830598978
- Enrollment ID: I20210524000350
Medical Identifiers
Medical identifiers for Richard Soper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386246965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | SW17976 (Florida) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW007597 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Richard Soper allows following entities to bill medicare on his behalf.
| Entity Name | Georgia Pines Community Service Board |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366506958
PECOS PAC ID: 5799772844
Enrollment ID: O20040429000631 |
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| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210225002747 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220315000829 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard Soper is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Richard Soper, LCSW
242 Ne Bramble St,
Winston, OR 97496-6610
Ph: (407) 506-3612 | Richard Soper, LCSW
7901 4th St N,
St Petersburg, FL 33702-4305
Ph: (407) 506-3612 |
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