Individual provider Active NPI

Mary M Riche, MSW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1043223589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1202 Issued in IA
Practice address
1922 Ingersoll Ave
Suite 118
Des Moines, IA 50309-3339
Phone
(515) 282-7699
NPI assigned
Aug 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1202 IA Primary

Addresses

Primary practice location

1922 Ingersoll Ave
Suite 118
Des Moines, IA 50309-3339

Mailing address

420 28TH St
Des Moines, IA 50312-4406
Phone (515) 288-4448

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1202IAMDClinical Social Worker
01202IAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043223589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 28TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124406",
            "telephone_number": "515-288-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 INGERSOLL AVE",
            "address_2": "SUITE 118",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093339",
            "telephone_number": "515-282-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHE",
        "first_name": "MARY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.