Jennifer Michelle Riddle, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0500025 Issued in OH

Practice address

415 Glensprings Dr
Suite 201
Cincinnati, OH 45246-2317

Phone

(513) 771-9600

Fax

(513) 771-2546

NPI assigned

Dec 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Center IncGroup PAC ID 9133611049, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Phoenix Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ironton, OH
  • NPI 1225670813
  Medicare reassignment Care Compare group NPD
• Mindfully, LLC

  • Counselor
  • Fairfield, OH
  • NPI 1972702520
  Medicare reassignment NPD
• Necco, LLC

  • Case Management Agency
  • Springdale, OH
  • NPI 1427119775

  Clinical

  Medicare reassignment NPD
• Mindfully, LLC

  • Counselor
  • Jacksonville, FL
  • NPI 1376271981

  Clinical

  NPD
• Phoenix Center, Inc.

  • General Practice Physician
  • Ironton, OH
  • NPI 1366379075
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1740464460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 GLENSPRINGS DR",
            "address_2": "SUITE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462317",
            "telephone_number": "513-771-9600",
            "fax_number": "513-771-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 GLENSPRINGS DR",
            "address_2": "SUITE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462317",
            "telephone_number": "513-771-9600",
            "fax_number": "513-771-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0500025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noemi Cleofas Rico-Ceppi, MD
• Timothy Scott Ridder
• Evan Riddick
• Tonya R. Riddick
• Autumn Riddle
• Matthew Kevin Riddle, M.D.
• Michael D Riddle
• Opal Jean Riddle, P.T., DPT
• Robert Riddle, LISW, LICDC
• Sarah W Riddle, M.D.

• Clinical Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.