Active NPI
Joan P Riley, LICSW
- Clinical Social Worker
- Fall River, MA
National Provider Identifier
1174793244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01720
- Practice address
- 700 Shore Dr Unit 605
Fall River, MA 02721 - Phone
- (401) 924-2046
- NPI assigned
- Mar 5, 2008
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW01720 | RI | Primary |
Addresses
Primary practice location
700 Shore Dr Unit 605
Fall River, MA 02721
Mailing address
700 Shore Dr Unit 605
Fall River, MA 02721-1075
Phone (401) 924-2046
Other practice location 1
1516 Atwood Ave
Johnston, RI 02919-3223
Phone (401) 553-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GH57134 | Medicaid | RI |
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 |
|---|---|---|---|
| ISW01720 | RI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532217600000",
"number": "1174793244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SHORE DR UNIT 605",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027211075",
"telephone_number": "401-924-2046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SHORE DR UNIT 605",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "02721",
"telephone_number": "401-924-2046"
}
],
"practiceLocations": [
{
"address_1": "1516 Atwood Ave",
"address_purpose": "LOCATION",
"city": "Johnston",
"state": "RI",
"postal_code": "029193223",
"country_code": "US",
"telephone_number": "401-553-1000",
"fax_number": "401-553-1143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RILEY",
"first_name": "JOAN",
"middle_name": "P",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2018-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GH57134",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.