Active NPI
Carly Ruth Riley, MSW
- Clinical Social Worker
- Tarpon Springs, FL
National Provider Identifier
1174116743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15177
- Practice address
- 1501 S Pinellas Ave Ste C
Tarpon Springs, FL 34689-1950 - Phone
- (703) 638-0035
- NPI assigned
- Feb 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15177 | FL | Primary |
Addresses
Primary practice location
1501 S Pinellas Ave Ste C
Tarpon Springs, FL 34689-1950
Mailing address
6217 Paddock Glen Dr Unit 102
Tampa, FL 33634-5349
Phone (703) 638-0035
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15177 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1174116743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6217 PADDOCK GLEN DR UNIT 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336345349",
"telephone_number": "703-638-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S PINELLAS AVE STE C",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346891950",
"telephone_number": "703-638-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "CARLY",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-15",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "15177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarpon Springs, FL
- Douglas S. Reintgen, M.D.
- Remise Occupational Health Solutions, Inc
- Results Therapy LLC
- Ribo & Associates (Visiting Angels)
- Dan Richard Riesling, D.C.
- Frances Madeleine Rink
- Robert P. D'Amico D.O.P.a.
- Roberto Arevalo-Araujo MD PA (Cancer Center of Pasco Pinellas)
- Paul Francis Robinson, M.D. PH.D.
- Rod K Dietz DDS PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.