Frederick Ryan Riley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4788890-3501 Issued in UT

Practice address

406 West Jordan River Parkway
Suite 220
South Jordan, UT 84065-4321

Phone

(801) 891-8281

NPI assigned

May 2, 2007

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1457572570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14187 TEMPEST RIDGE CIR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840961873",
            "telephone_number": "801-891-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 WEST JORDAN RIVER PARKWAY",
            "address_2": "SUITE 220",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840654321",
            "telephone_number": "801-891-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "FREDERICK",
        "middle_name": "RYAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "4788890-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Eason DPM PC
• John L Richards, MD
• Jenni Richmond
• Ridgeline South Jordan LLC
• Riley Individual, Family, and Marriage Counseling LLC
• Jason Clark Ripplinger, PHD
• Rising Summits
• Rith Counseling and Assessment PLLC
• Kendrick A. Rith, PHD
• Lacey Mae Rivera

• Clinical Social Worker in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.