Active NPI
Tiffany Riebel, MSW LSW EAP CCTP
- Social Worker
- Boise, ID
National Provider Identifier
1962949404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 9169 W State St # 135
Boise, ID 83714-1733 - Phone
- (724) 237-1147
- NPI assigned
- Jan 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S.1600463 | OH | |
| Clinical Social Worker | 1041C0700X | 213743 | MA | |
| Clinical Social Worker | 1041C0700X | SW124507 | PA | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
9169 W State St # 135
Boise, ID 83714-1733
Mailing address
9169 W State St # 135
Boise, ID 83714-1733
Phone (724) 237-1147
Other practice location 1
4200 5th Ave
Pittsburgh, PA 15260-0001
Phone (724) 237-1147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW124507 | Other | PA | LSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1600463 | OH | MD | Clinical Social Worker |
| SW124507 | PA | MD | Clinical Social Worker |
| 213743 | MA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1962949404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9169 W STATE ST # 135",
"city": "BOISE",
"state": "ID",
"postal_code": "837141733",
"telephone_number": "724-237-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9169 W STATE ST # 135",
"city": "BOISE",
"state": "ID",
"postal_code": "837141733",
"telephone_number": "724-237-1147"
}
],
"practiceLocations": [
{
"address_1": "4200 5th Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152600001",
"country_code": "US",
"telephone_number": "724-237-1147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIEBEL",
"first_name": "TIFFANY",
"credential": "MSW LSW EAP CCTP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.1600463",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "213743",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "SW124507",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LSW",
"identifier": "SW124507",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.