Heidi Marie Riddle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6751345-3501 Issued in UT

Practice address

111 E 5600 S Ste 102
Murray, UT 84107-8103

Phone

(801) 268-2887

Fax

(801) 268-4295

NPI assigned

Jun 8, 2012

Last updated

Jun 8, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Intermountain Center for Cognitive Therapy

  • Clinical Social Worker
  • Murray, UT
  • NPI 1821129859
  NPD (past)

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1790047470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 5600 S STE 102",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078103",
            "telephone_number": "801-268-2887",
            "fax_number": "801-268-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 5600 S STE 102",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078103",
            "telephone_number": "801-268-2887",
            "fax_number": "801-268-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6751345-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Richey
• Alisha Richins, FNP-BC
• John Richins, RPH
• Rachael C Rickard, CSW
• Shannon Ricks, LMFT
• Nathanael W Ridge, PA, PHD
• Erik Reinhard Riessen, M.D.
• Kala Riester, MS, RD, CSSD
• Eric Woodbury Rigby, MD
• Joan Riley

• Clinical Social Worker in Murray, UT
• Providers in Murray, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.