Individual provider Active NPI

Riley Foster Nichols, LMSW

  • Social Worker
  • West Bloomfield, MI
National Provider Identifier
1821602103
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801115881 Issued in MI
Practice address
7439 Middlebelt Rd Ste 3
West Bloomfield, MI 48322-4183
Phone
(517) 974-7756
NPI assigned
Sep 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 110200 NY
Social Worker 104100000X 6801115881 MI Primary

Addresses

Primary practice location

7439 Middlebelt Rd Ste 3
West Bloomfield, MI 48322-4183

Mailing address

120 Thames St Apt 205
Brooklyn, NY 11237-1774
Phone (517) 974-7756

Other practice location 1

120 Thames St Apt 205
Brooklyn, NY 11237-1774
Phone (517) 974-7756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230801003687 MI Practitioner - Clinical Social Worker 9032570403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

7439 Middlebelt Rd
Suite 3
West Bloomfield, MI 48322-4183
Phone (248) 716-7057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801115881MIMDSocial Worker
110200NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jul 31, 2023 Accepting new patients

Locations

7333 Triangle Dr
Sterling Hts, MI 48314
Phone (248) 686-3347

7439 Middlebelt Rd
Ste 3
West Bloomfield, MI 48322
Phone (248) 609-3466

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1821602103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 THAMES ST APT 205",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112371774",
            "telephone_number": "517-974-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7439 MIDDLEBELT RD STE 3",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224183",
            "telephone_number": "517-974-7756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Thames St Apt 205",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112371774",
            "country_code": "US",
            "telephone_number": "517-974-7756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "RILEY",
        "middle_name": "FOSTER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110200",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801115881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.