Active NPI
Heather D Riley, LCSW
- Clinical Social Worker
- Evansville, IN
National Provider Identifier
1699579342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 33010567A
- Practice address
- 120 N Main St
Evansville, IN 47711-5449 - Phone
- (812) 422-6812
- Fax
- (812) 228-1113
- NPI assigned
- Apr 2, 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 | 33010567A | IN | Primary |
Addresses
Primary practice location
120 N Main St
Evansville, IN 47711-5449
Mailing address
PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181
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 |
|---|---|---|---|
| 33010567A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Authentic Psychiatry & Wellness LLC | Past | Accepting new patients | |
| New Visions Counseling, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Evansville, IN
- NPI 1972344992
-
- Mental Health Counselor
- Evansville, IN
- NPI 1720559057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1699579342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3276",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477313276",
"telephone_number": "812-473-0181",
"fax_number": "812-492-6498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N MAIN ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477115449",
"telephone_number": "812-422-6812",
"fax_number": "812-228-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "HEATHER",
"middle_name": "D",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-02",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "33010567A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.