Vivienne K Riseley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-64896 Issued in MT

Practice address

115 W Kagy Blvd Ste O
Bozeman, MT 59715-6026

Phone

(406) 282-3055

NPI assigned

Mar 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mother Tree Therapy PLLC

  • Adult Mental Health Clinic/Center
  • Bozeman, MT
  • NPI 1043186448
  NPD Authorized official

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1023718871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W KAGY BLVD STE D",
            "address_2": "PMB 222",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156026",
            "telephone_number": "406-282-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W KAGY BLVD STE O",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156026",
            "telephone_number": "406-282-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISELEY",
        "first_name": "VIVIENNE",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-64896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles F Rinker, MD
• Ripple Affect Inc.
• Brian Ripplinger, PHARM D
• Rise Mental Health Corp
• Rise Therapy
• Dustin Robert Rising, D.C.
• Rachel JM Rising, D.C.
• Kari Ritter, MD
• Jessica Rivera, APRN
• Amanda Catherine Rizner, CNM

• Clinical Social Worker in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.