Individual provider Active NPI

Mary Judith Riley, LCSW

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1043559149
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001229 Issued in DE
Practice address
2601 Annand Dr Ste 20
Wilmington, DE 19808-3719
Phone
(302) 383-2078
NPI assigned
Feb 8, 2013
Last updated
Mar 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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 CW017590 PA
Clinical Social Worker 1041C0700X Q1-0001229 DE Primary

Addresses

Primary practice location

2601 Annand Dr Ste 20
Wilmington, DE 19808-3719

Mailing address

2516 Bryan Dr
Wilmington, DE 19808-3704
Phone (610) 363-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130308000417 PA Practitioner - Clinical Social Worker 3476708819 Reassigns benefits to 1 organization
I20150303002317 DE Practitioner - Clinical Social Worker 3476708819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2601 Annand Dr
Wilmington, DE 19808-3719

5153 W Woodmill Dr
Suite 18
Wilmington, DE 19808-4067
Phone (302) 383-2078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Judie Riley LCSW, LLC Clinical CurrentSince Aug 1, 2013 Accepting new patients

Locations

1602 Newport Gap Pike
Wilmington, DE 19808

2601 Annand Dr
Ste 20
Wilmington, DE 19808
Phone (302) 379-8959

5153 W Woodmill Dr
Ste 18
Wilmington, DE 19808
Phone (302) 999-7898

312 W State St
Ste 206
Kennett Square, PA 19348
Phone (484) 716-6667

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1043559149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 BRYAN DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083704",
            "telephone_number": "610-363-1488",
            "fax_number": "610-363-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 ANNAND DR STE 20",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083719",
            "telephone_number": "302-383-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "MARY",
        "middle_name": "JUDITH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017590",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.