Organization Active NPI

Riley Rose Reflections, LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1578253522
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RILEY ROSE REFLECTIONS, LLC
Practice address
6531 S Woodlawn Ave Unit 2N
Chicago, IL 60637-5477
Phone
(312) 918-3034
NPI assigned
May 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Ra'Eesa Sadat
Title
Owner
Phone
(312) 918-3034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6531 S Woodlawn Ave Unit 2N
Chicago, IL 60637-5477

Mailing address

6531 S Woodlawn Ave Unit 2N
Chicago, IL 60637-5477
Phone (312) 918-3034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1578253522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6531 S WOODLAWN AVE UNIT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606375477",
            "telephone_number": "312-918-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6531 S WOODLAWN AVE UNIT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606375477",
            "telephone_number": "312-918-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RILEY ROSE REFLECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "SADAT",
        "authorized_official_first_name": "RA'EESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-918-3034"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.