Active NPI
Dehja Riley
- Clinical Social Worker
- Miami Gardens, FL
National Provider Identifier
1609737501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW22265
- Practice address
- 3964 NW 167TH St
Miami Gardens, FL 33054-6291 - Phone
- (786) 530-5410
- Fax
- (786) 530-5424
- NPI assigned
- Nov 20, 2025
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW22265 | FL | Primary |
Addresses
Primary practice location
3964 NW 167TH St
Miami Gardens, FL 33054-6291
Mailing address
2652 SW 135TH Ave
Miramar, FL 33027-3883
Phone (954) 647-7115
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 |
|---|---|---|---|
| ISW22265 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1609737501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2652 SW 135TH AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273883",
"telephone_number": "954-647-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3964 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330546291",
"telephone_number": "786-530-5410",
"fax_number": "786-530-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "DEHJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-20",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW22265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.