Active NPI
Ivonne Riley, LMSW
- Social Worker
- Socorro, NM
National Provider Identifier
1083920482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-09956
- Practice address
- 1200 Highway 60
Socorro, NM 87801 - Phone
- (575) 835-2444
- NPI assigned
- Aug 23, 2010
- 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 | M-09956 | NM | Primary |
Addresses
Primary practice location
1200 Highway 60
Socorro, NM 87801
Mailing address
423 Melody LN S
Socorro, NM 87801-5029
Phone (505) 363-9606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22623213 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-09956 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1083920482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 MELODY LN S",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878015029",
"telephone_number": "505-363-9606",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HIGHWAY 60",
"city": "SOCORRO",
"state": "NM",
"postal_code": "87801",
"telephone_number": "575-835-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "IVONNE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-23",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-09956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22623213",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Socorro, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.