Charolette J. Riale, MSW
Individual provider Active NPI Clinical Social Worker · Knox, IN
NPI 1487972618 · NPPES record last updated May 12, 2010
Key facts
- NPI
- 1487972618
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 1003 S Edgewood Dr
Knox, IN 46534-8226 - Phone
- (574) 772-4040
- Fax
- (574) 772-7144
- NPI assigned
- May 12, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sondermind Provider Network LLC
Practice addresses (Care Compare)
333 N Alabama St
Suite 350
Indianapolis, IN 46204-2275
Phone (866) 630-0966
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140811000292 | IN | Practitioner - Clinical Social Worker | 6709003080 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current |
Accepting new patients |
Locations
333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
1003 S Edgewood Dr
Knox, IN 46534-8226
Mailing address
1003 S Edgewood Dr
Knox, IN 46534-8226
Phone (574) 772-4040
Other providers in Knox, IN
- Principal Knox LLC
- Proactive Mso, LLC
- Pulaski Memorial Hospital
- Rci (WRS), LLC.
- Victoria Rae Redar
- Joseph Frank Rietow
- Sandra L Ringer
- Robert R Cornwell MD PC
- Rocky Mountain Holdings, LLC
- Rush-Select Holdings, LLC
All providers in Knox, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.