TARA RILEY (NPI# 1063959468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063959468 |
| Entity Type | Individual |
| Full Name | TARA RILEY |
| Practice Address |
616 Petoskey St 005 Petoskey MI 49770-2985 |
| Mailing Address |
109 Trent St Boyne City MI 49712-1542 |
| Practice Telephone | 2313302895 |
| Mailing Telephone | 2313302895 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801099308 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154635324 | Tara A Riley | Pharmacist | 5835 Easton Rd, Plumsteadville, PA 18949 | 2010-07-30 |
| 1639223282 | Tara Lyn Riley | Occupational Therapist | 75-127 Lunapule Road, #11, Kailua Kona, HI 96740 | 2007-01-22 |
| 1437438850 | Tara N Riley | Physician Assistant | 6330 E 75th Street, Suite 110, Indianapolis, IN 46250-2717 | 2011-08-16 |
| Street Address |
616 PETOSKEY ST 005 |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-2985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437649449 | Paul J Sorgi Md Pllc | Psychiatry & Neurology | 616 Petoskey St, Petoskey, MI 49770-2985 | 2018-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447893573 | Keith D Head | Social Worker | 2236 E Mitchell Rd # 5, Petoskey, MI 49770-9604 | 2019-10-22 |
| 1932765831 | Margaret Kimberley Van Hooser | Social Worker | 231 State St Ste 6, Petoskey, MI 49770-2785 | 2019-05-15 |
| 1336601194 | Second Chance Counseling Center | Social Worker | 709 Jackson St Apt 6, Petoskey, MI 49770-2238 | 2019-04-02 |
| 1609359207 | Katrina Mae Tripp | Social Worker | 2780 Charlevoix Rd Ste 13, Petoskey, MI 49770-8058 | 2018-09-10 |
| 1689026379 | Janet Marie La Dere | Social Worker | 616 Petoskey St Ste 3, Petoskey, MI 49770-2779 | 2016-07-06 |
| 1578979142 | Amber Merrow | Social Worker | 1 Hiland Dr, Petoskey, MI 49770-2483 | 2014-07-03 |
| 1316156417 | William Thomas Wilson | Social Worker | 455 Bay St, Suite F, Petoskey, MI 49770-4401 | 2007-05-22 |
| 1548482029 | Women's Resource Center of Northern Michigan | Social Worker | 423 Porter St, Petoskey, MI 49770-2844 | 2007-05-03 |
| 1619014735 | Daniel Kenneth Taylor | Social Worker | One Macdonald Drive Suite B, Petoskey, MI 49770 | 2007-01-30 |
| 1720141328 | Erik Sean Larson | Social Worker | 435 Madison St, Petoskey, MI 49770-4210 | 2006-12-18 |
| Find all providers in PETOSKEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.