Active NPI
Emily Rider, LCSW
- Clinical Social Worker
- Tampa, FL
National Provider Identifier
1235794223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW18045
- Practice address
- 5357 Ehrlich Rd
Tampa, FL 33625-5505 - Phone
- (813) 968-4003
- NPI assigned
- May 6, 2019
- Reactivated
- Jul 13, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW007399 | GA | |
| Clinical Social Worker | 1041C0700X | MSW008196 | GA | |
| Clinical Social Worker | 1041C0700X | SW18045 | FL | Primary |
Addresses
Primary practice location
5357 Ehrlich Rd
Tampa, FL 33625-5505
Mailing address
1929 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9202
Other practice location 1
495 Charles Hardy Pkwy
Dallas, GA 30157-5723
Phone (770) 445-2128
Other practice location 2
1929 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9202
Phone (813) 991-1293
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 |
|---|---|---|---|
| SW18045 | FL | MD | Clinical Social Worker |
| CSW007399 | GA | MD | Clinical Social Worker |
| MSW008196 | GA | MD | Clinical Social Worker |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1235794223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1929 BRUCE B DOWNS BLVD",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335449202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5357 EHRLICH RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336255505",
"telephone_number": "813-968-4003"
}
],
"practiceLocations": [
{
"address_1": "495 Charles Hardy Pkwy",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "GA",
"postal_code": "301575723",
"country_code": "US",
"telephone_number": "770-445-2128",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1929 Bruce B Downs Blvd",
"address_purpose": "LOCATION",
"city": "Wesley Chapel",
"state": "FL",
"postal_code": "335449202",
"country_code": "US",
"telephone_number": "813-991-1293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDER",
"first_name": "EMILY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"deactivation_date": "2019-06-24",
"reactivation_date": "2019-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW007399",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "MSW008196",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW18045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.