JAMES HOWARD RILEY LCSW
NPI 1154538593
Social Worker - Clinical in Miami Beach, FL

Q: What is James Riley's NPI number?

The NPI number for James Riley is 1154538593. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Q: What is James Riley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for James Riley was last updated on May 6, 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.

Active since May 16, 2007PECOS EnrolledAccepts Medicare Assignment

4308 ALTON RD STE 870, MIAMI BEACH, FL 33140(305) 538-1400(888) 972-9651 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About James Howard Riley Lcsw NPPES

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

JAMES HOWARD RILEY LCSW (NPI 1154538593) is an individual clinical provider in Miami Beach, Florida, licensed in Florida (SW14834) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1154538593

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJAMES HOWARD RILEYCredential: LCSW

Location Address4308 ALTON RD STE 870Miami Beach, FL 33140-4560

Mailing Address6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422 · (323) 860-5200 · Fax (323) 467-7119

Phone(305) 538-1400

Fax(888) 972-9651

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateMay 16, 2007

Last NPPES UpdateMay 6, 2024

NPPES CertifiedMay 6, 2024

✔ NPI 1154538593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in FL · SW14834✔ Licensed in TX · 54198

Definition

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.

4308 ALTON RD STE 870, Miami Beach, FL 33140

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Other Identifiers 1

Medicaid294327601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Howard Riley Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214833722

PECOS Enrollment IDI20031208000332

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 James Riley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aids Healthcare Foundation

Same address

Internal Medicine

4308 ALTON RD STE 950960
Miami Beach, FL 33140

Reassigned Medicare billing, Florida enrollment
71 clinicians in this Medicare group

NPI 1386926574 (305) 538-1400

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $60.92 – $187.05

Typical copayment $0.00 (range $15.23 – $46.76)

Most-billed visit code NA

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

MOISES CINTRON II AGOSTO MD

Internal Medicine