Active NPI
Aubrey Riddle, LCSW
- Clinical Social Worker
- Richmond, TX
National Provider Identifier
1023526308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 59983
- Practice address
- 2315 Coleridge CT
Richmond, TX 77469-6300 - Phone
- (801) 390-7192
- NPI assigned
- Jan 20, 2018
- Last updated
- Jan 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 59983 | TX | Primary |
Addresses
Primary practice location
2315 Coleridge CT
Richmond, TX 77469-6300
Mailing address
2315 Coleridge CT
Richmond, TX 77469-6300
Phone (801) 390-7192
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
| License | State | Type | Specialty |
|---|---|---|---|
| 59983 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516406400000",
"number": "1023526308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 COLERIDGE CT",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774696300",
"telephone_number": "801-390-7192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 COLERIDGE CT",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774696300",
"telephone_number": "801-390-7192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDLE",
"first_name": "AUBREY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-20",
"last_updated": "2018-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "59983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
- Richmond Metro Health Services Inc.
- Richmond Metro Healthcare Services Inc.
- Richmond Premier Foot & Ankle Clinic PLLC
- Richmond Primemed Clinic,LLC
- Richrose Dental PA (Affordable Dental)
- Right 4 U Transportation LLC
- Monaliza Patayan Rigos, NP
- Riley Home Group Services LLC
- Brenda Riley, LCDC
- Rims Healthcare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.