Active NPI
Randall E Riser, LMSW
- Clinical Social Worker
- Marshall, MI
National Provider Identifier
1386875342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801059160
- Practice address
- 221 N Gordon St
Marshall, MI 49068-1212 - Phone
- (269) 781-9455
- Fax
- (269) 781-9477
- NPI assigned
- Aug 6, 2009
- Sex
- Male
- 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 | 6801059160 | MI | Primary |
Addresses
Primary practice location
221 N Gordon St
Marshall, MI 49068-1212
Mailing address
221 N Gordon St
Marshall, MI 49068-1212
Phone (269) 781-9455
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 |
|---|---|---|---|
| 6801059160 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1386875342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 N GORDON ST",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681212",
"telephone_number": "269-781-9455",
"fax_number": "269-781-9477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 N GORDON ST",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681212",
"telephone_number": "269-781-9455",
"fax_number": "269-781-9477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISER",
"first_name": "RANDALL",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801059160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshall, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.