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

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: August 09, 2026.

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
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

Other Identifiers 1

Medicaid294327601TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Internal Medicine
4308 ALTON RD STE 870
MIAMI BEACH, FL 33140
Internal Medicine
4308 ALTON RD STE 870
MIAMI BEACH, FL 33140
Pharmacy (Specialty Pharmacy)
4308 ALTON RD STE 870
MIAMI BEACH, FL 33140
Internal Medicine
4308 ALTON RD STE 870
MIAMI BEACH, FL 33140
Family Medicine
4308 ALTON RD STE 870
MIAMI BEACH, FL 33140
Nurse Practitioner (Family)
4308 ALTON RD STE 870
MIAMI BEACH, FL 33140
Nurse Practitioner (Family)
4308 ALTON RD STE 870
MIAMI BEACH, FL 33140
Nurse Practitioner (Adult Health)
4308 ALTON RD STE 870
MIAMI BEACH, FL 33140

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 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.

Where is James Riley located?

James Riley practices at 4308 Alton Rd Ste 870, Miami Beach, FL 33140. The listed phone number is (305) 538-1400.

What is James Riley's specialty?

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

Is James Riley enrolled in Medicare?

Yes. James Riley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Riley accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list James Riley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.