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MRS. KATHERINE GRACE RIDLEY LMSW
NPI 1124743216
Social Worker in Albany, NY

Active since October 11, 2022PECOS Enrolled
840 ALBANY SHAKER RD, ALBANY, NY 12211(631) 578-6336 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2024, Oct 11, 2022 (2 updates tracked since 2022).

About Mrs. Katherine Grace Ridley Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHERINE GRACE RIDLEY LMSW (NPI 1124743216) is an individual social worker in Albany, New York, licensed in New York (117170) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albany, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124743216
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. KATHERINE GRACE RIDLEYCredential: LMSW
Location Address840 ALBANY SHAKER RDAlbany, NY 12211-1054
Mailing Address236 Manning Blvd Fl 1Albany, NY 12206-1426 · (631) 578-6336
Phone(631) 578-6336
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 11, 2022
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1124743216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 117170
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
840 ALBANY SHAKER RD, Albany, NY 12211
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Secondary Practice Location 1

Location 1401 New Karner RdAlbany, NY 12205-3854 · Phone (518) 431-1650

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Katherine Grace Ridley Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012471139
PECOS Enrollment IDI20260709003710
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Ridley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Parsons Child And Family Center
7.4 mi
Custodial Care Facility
60 ACADEMY RD
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 77 clinicians in this Medicare group
NPI 1922171305 (518) 426-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAUREEN DOOREY LCSW
Social Worker
840 ALBANY SHAKER RD
ALBANY, NY 12211
Albany County (518) 869-2683
KATLYN M HAYWARD LMSW
Social Worker
840 ALBANY SHAKER RD
ALBANY, NY 12211
Albany County (518) 869-2683
VLADISLAV VOSS
Dentist (General Practice)
840 ALBANY SHAKER RD
ALBANY, NY 12211
Albany County (518) 869-2641
ALYSSA BURKE
Social Worker
840 ALBANY SHAKER RD
ALBANY, NY 12211
Albany County (518) 869-2683

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Ridley's NPI number?

The NPI number for Katherine Ridley is 1124743216. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Katherine Ridley located?

Katherine Ridley practices at 840 Albany Shaker Rd, Albany, NY 12211. The listed phone number is (631) 578-6336.

What is Katherine Ridley's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Katherine Ridley enrolled in Medicare?

Yes. Katherine Ridley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Ridley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Ridley reassigns Medicare benefits to Parsons Child And Family Center (Albany, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Ridley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Ridley was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.