Organization Active NPI

Katie Rievert LCSW, PLLC

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1063275295
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KATIE RIEVERT LCSW, PLLC
Practice address
31 E Center St Ste 207
Fayetteville, AR 72701-5391
Phone
(479) 208-6612
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Catherine Rievert, LCSWNPI 1740889906
Title
Owner/Therapist
Phone
(479) 857-3654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

31 E Center St Ste 207
Fayetteville, AR 72701-5391

Mailing address

2374 N Abbott LN Unit 2
Fayetteville, AR 72703-6629
Phone (479) 857-3654

National Provider Directory

National Provider Directory

Locations

34 E Center St
Ste 24
Fayetteville, AR 72701
Phone (479) 208-6612

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1063275295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2374 N ABBOTT LN UNIT 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036629",
            "telephone_number": "479-857-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E CENTER ST STE 207",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015391",
            "telephone_number": "479-208-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE RIEVERT LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "RIEVERT",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "479-857-3654",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.