Individual provider Active NPI

Debra Riter

  • Clinical Social Worker
  • Hamburg, NY
National Provider Identifier
1780007898
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074138 Issued in NY
Practice address
4353 Manor LN
Hamburg, NY 14075-1120
Phone
(716) 208-5279
Fax
(716) 898-1313
NPI assigned
Jan 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 074138 NY Primary

Addresses

Primary practice location

4353 Manor LN
Hamburg, NY 14075-1120

Mailing address

4353 Manor LN
Hamburg, NY 14075-1120
Phone (716) 208-5279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20260623000993 NY Practitioner - Clinical Social Worker 7012480916 Practice locations: Orchard Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4353 Manor LN
Hamburg, NY 14075-1120

6456 New Taylor Rd
Orchard Park, NY 14127-2358
Phone (716) 422-0093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074138NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1780007898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 MANOR LN",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751120",
            "telephone_number": "716-208-5279",
            "fax_number": "716-898-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 MANOR LN",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751120",
            "telephone_number": "716-208-5279",
            "fax_number": "716-898-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITER",
        "first_name": "DEBRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

Verify at the official NPI Registry.