Jennifer J Riley, MSW, CAADC, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW022902 Issued in PA

Practice address

100 E Lancaster Ave Ste B7
Wynnewood, PA 19096-3450

Phone

(484) 476-8565

NPI assigned

Jul 22, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1326773367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HARVIN RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190821506",
            "telephone_number": "401-835-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE B7",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "484-476-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MSW, CAADC, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherie Hall Richard, M.S., CCC-SLP
• Elijah Wade Riddle, M.D.
• Gordon Alexander Ridgeway, MD
• Khalid Mohammedwaheed Ridwan, MD, MSC, FRCSC
• Jonathan Patrick Riegel
• Lisa A Rios- Buemi, CRNP
• Sherrie Maureen Ritterman
• Ann Rivera, CRNP
• Anne R Robbins, PSY.D.
• Paul Sylvester Robbins, DO

• Clinical Social Worker in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.