Catherine Jo Risley, LMSW
Social Worker, Clinical in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1124401161
StatusActive
Last updated in NPPESFeb 21, 2022
Details
- NPI
- 1124401161
- Entity type
- Individual (NPI-1)
- Name
- Catherine Jo Risley
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2015
- Certification date
- Feb 21, 2022
- Last updated
- Feb 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801089057 | MI | Yes |
Practice location
2750 E Beltline Ave NeGrand Rapids, MI 49525-8614
Phone 616-267-7015
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
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