Individual provider Active NPI

Marlynn Annette Riker, LCSW

  • Clinical Social Worker
  • Cody, WY
National Provider Identifier
1104070069
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW #289 Issued in WY
Practice address
2538 Big Horn Ave
Cody, WY 82414-9299
Phone
(307) 587-2197
Fax
(307) 527-6218
NPI assigned
Nov 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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 LCSW #289 WY Primary

Addresses

Primary practice location

2538 Big Horn Ave
Cody, WY 82414-9299

Mailing address

1121 Road 9 1/2
Powell, WY 82435-9254
Phone (307) 754-7970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW #289WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
West Park Hospital District CurrentSince Mar 23, 2022 Accepting new patients
Michelle L Croft CurrentSince Oct 17, 2018 Accepting new patients
West Park Hospital District CurrentSince Mar 23, 2022 Accepting new patients

Locations

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

440 Nevada Ave
Lovell, WY 82431
Phone (307) 272-7588

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1104070069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 ROAD 9 1/2",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824359254",
            "telephone_number": "307-754-7970",
            "fax_number": "307-754-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 BIG HORN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149299",
            "telephone_number": "307-587-2197",
            "fax_number": "307-527-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIKER",
        "first_name": "MARLYNN",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW #289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.