Active NPI
Riva Haley Detweiler
- Social Worker
- Dedham, MA
National Provider Identifier
1053789180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 450 Washington St
Dedham, MA 02026-4455 - Phone
- (781) 329-0909
- NPI assigned
- Sep 5, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
450 Washington St
Dedham, MA 02026-4455
Mailing address
15 Bay State Ave # 2
Somerville, MA 02144-2114
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441411200000",
"number": "1053789180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BAY STATE AVE # 2",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 WASHINGTON ST",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020264455",
"telephone_number": "781-329-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETWEILER",
"first_name": "RIVA",
"middle_name": "HALEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-05",
"last_updated": "2015-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.