Emily Lucetta Joan Bettendorf Riley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011465 Issued in VA

Practice address

5000 Corporate Woods Dr Ste 400
Virginia Beach, VA 23462-4429

Phone

(757) 459-4640

NPI assigned

Jan 27, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jewish Family Service of Tidewater, Incorporated

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1124088638
  Medicare reassignment NPD
• Jewish Family Service of Tidewater, Incorporated

  • Home Health Agency
  • Virginia Beach, VA
  • NPI 1790791176
  NPD

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1861023012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CORPORATE WOODS DR STE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624429",
            "telephone_number": "757-459-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CORPORATE WOODS DR STE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624429",
            "telephone_number": "757-459-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTENDORF RILEY",
        "first_name": "EMILY",
        "middle_name": "LUCETTA JOAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eriley@toraschaim.net",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5000 Corporate Woods Dr Ste 400",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234624429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beth Sholom Home of Eastern Virginia
• Bethany Christian Services
• April Nicole Bethea, COTA/L
• Tyasia Bethel
• Bethesda Chevy Chase Orthopaedic Associates, LLC (Jordan-Young Institute)
• Better Days Support Group LLC
• Better Life of Virginia LLC
• Better Living Home Health LLC
• Better Living Supportive Services LLC
• Madelene D Betts, CRNA

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.