Angela Brooke Riley, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851117204 Issued in MI

Practice address

204 Meadows Dr
Grayling, MI 49738-2013

Phone

(231) 463-9569

NPI assigned

Sep 1, 2021

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1720756109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 N ROSCOMMON RD",
            "city": "ROSCOMMON",
            "state": "MI",
            "postal_code": "486539206",
            "telephone_number": "231-340-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEADOWS DR",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497382013",
            "telephone_number": "231-463-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "ANGELA",
        "middle_name": "BROOKE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802090364",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851117204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mistey Rayl, AGNP
• Kaitlyn J Reinink, RN
• Matthew Scott Rettke, M.D.
• Paul Reynolds, DO
• Kari Rose Richardson
• Rite Aid Pharmacy
• Robert Balestrero, MD, PC
• Jody L Robson, MA, LPC, CAADC
• Faith Roper, FNP-C
• Marilyn L Rosi, FNP

• Clinical Social Worker in Grayling, MI
• Providers in Grayling, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.