Active NPI
Kelly Sue Riazzi, LSW
- Social Worker
- Corry, PA
National Provider Identifier
1508843137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW010418-L
- Practice address
- 110 W Smith St
Corry, PA 16407-1558 - Phone
- (814) 796-0224
- Fax
- (814) 796-0224
- NPI assigned
- Dec 24, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW010418-L | PA | Primary |
Addresses
Primary practice location
110 W Smith St
Corry, PA 16407-1558
Mailing address
PO Box 47
Waterford, PA 16441-0047
Phone (814) 796-0224
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 |
|---|---|---|---|
| SW010418-L | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1508843137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47",
"city": "WATERFORD",
"state": "PA",
"postal_code": "164410047",
"telephone_number": "814-796-0224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W SMITH ST",
"city": "CORRY",
"state": "PA",
"postal_code": "164071558",
"telephone_number": "814-796-0224",
"fax_number": "814-796-0224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIAZZI",
"first_name": "KELLY",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW010418-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corry, PA
- Scott M Pruckner, DMD
- R.C. Hearing Concepts
- Sean Michael Ray, PHARMD
- Rebecca R. Steves, DMD, PC (Healthy Smiles of Corry)
- Regional Home Health and Hospice
- Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 00596)
- Charles Edward Rohrbach, DO
- Wendy Ross, PA-C
- Nicolas Saikali, DO
- Lisa Sayers, MA, NCC, LPC, LBS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.