Individual provider Active NPI

Catherine Rievert

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1740889906
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10074-C Issued in AR
Practice address
34 E Center St Ste 24
Fayetteville, AR 72701-4743
Phone
(479) 208-6612
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10074-C AR
Clinical Social Worker 1041C0700X 10074-C AR Primary

Addresses

Primary practice location

34 E Center St Ste 24
Fayetteville, AR 72701-4743

Mailing address

34 E Center St Ste 24
Fayetteville, AR 72701-4743
Phone (479) 208-6612

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
10074-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katie Rievert LCSW, PLLC Clinical CurrentSince Feb 4, 2024 Accepting new patients

Locations

34 E Center St
Ste 24
Fayetteville, AR 72701
Phone (479) 208-6612

31 E Center St
Ste 207
Fayetteville, AR 72701
Phone (479) 208-6612

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1740889906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 E CENTER ST STE 24",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727014743",
            "telephone_number": "479-208-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 E CENTER ST STE 24",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727014743",
            "telephone_number": "479-208-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEVERT",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "10074-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "10074-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.