Mary Ridley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007319A Issued in IN

Practice address

17143 Linda Way
Noblesville, IN 46062-7128

Phone

(847) 987-3795

NPI assigned

Jun 16, 2021

Sex

Female

Sole proprietor

Yes

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

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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1780252569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17143 LINDA WAY",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17143 LINDA WAY",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627128",
            "telephone_number": "847-987-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDLEY",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007319A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Rice, RBT
• Kylie Rich
• Elise Marie Ricker, MA, BCBA
• Jaclyn Kristine Ridder, DDS
• Kurtis Rider, D.M.D.
• Kristen L Rife
• Kristin L Riggs
• Melanie Riggs
• Trisha Riggs, MPT
• Morgan Ann Rimstidt, PHARMD, RPH

• Clinical Social Worker in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.