Jason Riley
Social Worker, Clinical in Detroit, MI. Individual provider (NPI-1).
NPI number1902309552
StatusActive
Last updated in NPPESMar 9, 2018
Details
- NPI
- 1902309552
- Entity type
- Individual (NPI-1)
- Name
- Jason Riley
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 9, 2018
- Last updated
- Mar 9, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 | 6801102201 | MI | Yes |
Practice location
7310 Woodward AveDetroit, MI 48202-3165
Phone 313-896-1444 · Fax 313-831-2168
Mailing address
27400 Franklin Rd Apt 617Southfield, MI 48034-2318
Phone 910-264-3304
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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