Ronald Riley, CSW
Individual provider Active NPI Social Worker · Sandy Hook, KY
NPI 1003902503 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003902503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 4758 (KY)
- Practice address
- RT 5 Box 800
Sandy Hook, KY 41171 - Phone
- (606) 738-6163
- Fax
- (606) 738-5030
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4758 | KY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4758 | KY | Yes |
Addresses
Primary practice location
RT 5 Box 800
Sandy Hook, KY 41171
Mailing address
P O Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30610026 | Medicaid | KY | |
| 000000377818 | Other | ANTHEM BCBS |
Other providers in Sandy Hook, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.