Active NPI
Riley Marie Jarrell, CSW
- Clinical Social Worker
- Richmond, KY
National Provider Identifier
1659137545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 258749
- 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
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 | 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
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 |
|---|---|---|---|
| 258749 | KY | MD | Clinical 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.