Shelly D Rivello, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016708 Issued in PA

Practice address

1225 Warm Springs Ave
JC Blair Memorial Hospital - Behavioral Health Services
Huntingdon, PA 16652-2350

Phone

(814) 643-8785

Fax

(814) 643-8360

NPI assigned

Jul 17, 2014

Last updated

Oct 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: s.rivello@broadtopmedical.medentdirect.com

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

• Broad Top Area Medical Center, Inc

  dba BTAMC Belleville Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Belleville, PA
  • NPI 1659945483
  NPD (past)

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1356758791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WARM SPRINGS AVE",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522350",
            "telephone_number": "814-643-8785",
            "fax_number": "814-643-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WARM SPRINGS AVE",
            "address_2": "JC BLAIR MEMORIAL HOSPITAL - BEHAVIORAL HEALTH SERVICES",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522350",
            "telephone_number": "814-643-8785",
            "fax_number": "814-643-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVELLO",
        "first_name": "SHELLY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rinehart Chiropractic Center
• Jeri W Rinehart, D.C.
• Kara Cook Ritchey, O.D.
• Cathy Lynn Ritchie, PTA
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 00233)
• Robert a Barclay & Artamarie S. (Family Eye and Vision Care)
• Edith J Ross
• Lauren Destiny Ruby
• Nicolette Paige Randazzo Ruiz, MSW, LSW, LBS
• Taylor Renee Rutherford, CRNP, FNP-C

• Clinical Social Worker in Huntingdon, PA
• Providers in Huntingdon, 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 Oct 23, 2019; 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.