Individual provider Active NPI

Erin Wild Rioux

  • Clinical Social Worker
  • Salem, MA
National Provider Identifier
1003066283
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121028 Issued in MA
Practice address
27 Congress St Unit 1205-07
Salem, MA 01970-7309
Phone
(617) 990-6887
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 121028 MA Primary

Addresses

Primary practice location

27 Congress St Unit 1205-07
Salem, MA 01970-7309

Mailing address

27 Congress St # 1205-07
Salem, MA 01970-7309
Phone (617) 990-6887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121028MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Full Potential Therapy, P LLC Clinical CurrentSince Nov 1, 2020 Accepting new patients

Locations

262 Essex St
Salem, MA 01970
Phone (617) 990-6887

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15594/brand/4/csg/23/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1003066283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CONGRESS ST # 1205-07",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019707309",
            "telephone_number": "617-990-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CONGRESS ST UNIT 1205-07",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019707309",
            "telephone_number": "617-990-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOUX",
        "first_name": "ERIN",
        "middle_name": "WILD",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.