Individual provider Active NPI

Donna Barbara Riley, LMSW

  • Social Worker
  • Lake Grove, NY
National Provider Identifier
1508020611
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
078006-1 Issued in NY
Practice address
2233 Nesconset Hwy
Suite 104
Lake Grove, NY 11755-1000
Phone
(631) 737-5559
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 078006-1 NY Primary

Addresses

Primary practice location

2233 Nesconset Hwy
Suite 104
Lake Grove, NY 11755-1000

Mailing address

159 Joline Road
PT Jefferson Sta, NY 11776
Phone (631) 444-0120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111031000190 NY Practitioner - Clinical Social Worker 5597938951 Reassigns benefits to 1 organization
Practice locations: Lake Grove, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2233 Nesconset Hwy
Suite 100
Lake Grove, NY 11755-1000
Phone (631) 602-7856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
078006-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Donna Riley Office of Licensed Clinical Social Work, PLLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

2233 Nesconset Hwy
Ste 100
Lake Grove, NY 11755
Phone (631) 602-7856

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1508020611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 JOLINE ROAD",
            "city": "PT JEFFERSON STA",
            "state": "NY",
            "postal_code": "11776",
            "telephone_number": "631-444-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 NESCONSET HWY",
            "address_2": "SUITE 104",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551000",
            "telephone_number": "631-737-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "DONNA",
        "middle_name": "BARBARA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "078006-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Grove, NY

Sources for this page

Verify at the official NPI Registry.