Individual provider Active NPI

Nan Riekert, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Nicholasville, KY
National Provider Identifier
1942699111
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
531 Issued in KY
Practice address
1371 Beverly LN
Nicholasville, KY 40356-9033
Phone
(859) 536-5056
NPI assigned
Jan 12, 2015
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 531 KY Primary

Addresses

Primary practice location

1371 Beverly LN
Nicholasville, KY 40356-9033

Mailing address

1371 Beverly LN
Nicholasville, KY 40356-9033
Phone (859) 536-5056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20160322001446 KY Practitioner - Clinical Social Worker 0345547139 Practice locations: Lexington, KY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
531KYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1942699111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 BEVERLY LN",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569033",
            "telephone_number": "859-536-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 BEVERLY LN",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569033",
            "telephone_number": "859-536-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEKERT",
        "first_name": "NAN",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2022-12-07",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.