Individual provider Active NPI

Riley Marie Jarrell, CSW

  • Clinical Social Worker
  • Richmond, KY
National Provider Identifier
1659137545
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
258749 Issued in KY
Practice address
1001 Gibson Bay Dr FL 2
Richmond, KY 40475-3544
Phone
(855) 591-0092
NPI assigned
Feb 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 258749 KY Primary

Addresses

Primary practice location

1001 Gibson Bay Dr FL 2
Richmond, KY 40475-3544

Mailing address

3800 Nicholasville Rd Apt 12317
Lexington, KY 40503-6349
Phone (812) 746-0294

Other names 1

  • Riley Marie Jarrell Professional name

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

LicenseStateTypeSpecialty
258749KYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1659137545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 NICHOLASVILLE RD APT 12317",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405036349",
            "telephone_number": "812-746-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GIBSON BAY DR FL 2",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753544",
            "telephone_number": "855-591-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRELL",
        "first_name": "RILEY",
        "middle_name": "MARIE",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RILEY",
            "last_name": "JARRELL",
            "middle_name": "MARIE",
            "credential": "RILEY JARRELL, CSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.