Karen Rieselbach, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW76238 Issued in CA

Practice address

27 Nancy Dr
Novato, CA 94947-3826

Phone

(415) 300-5119

NPI assigned

Sep 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Mood Clinical, P. C.

  • Adult Mental Health Clinic/Center
  • Santa Ana, CA
  • NPI 1922675644
  Medicare reassignment NPD
• Glenn Medical Center, LLC

  • Critical Access Hospital
  • Willows, CA
  • NPI 1619929759
  NPD (past)

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1427450725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 NANCY DR",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473826",
            "telephone_number": "415-300-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 NANCY DR",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473826",
            "telephone_number": "415-300-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESELBACH",
        "first_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012473",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW76238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Reynoza
• Robin J Richardson, QMHP
• Rick Joseph Scarpello
• Valerie C Ridgeway, FNP
• Emily Terese Riedy, RN, FNP
• Julie Anne Ring, OD
• Theodore Rist Jr., D.D.S.
• Ritter Center
• Elizabet C Rivera
• Victoria Rivera, MS, OTR/L

• Clinical Social Worker in Novato, CA
• Providers in Novato, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.