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DONALD D RILES MSW, LCSW
NPI 1366109605
Social Worker - Clinical in Farmington, CT

Active since November 22, 2021PECOS EnrolledAccepts Medicare Assignment
5 CHURCH ST, FARMINGTON, CT 06032(218) 831-8958 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2026, Nov 22, 2021 (2 updates tracked since 2021).

About Donald D Riles Msw, Lcsw NPPES

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

DONALD D RILES MSW, LCSW (NPI 1366109605) is an individual clinical provider in Farmington, Connecticut, licensed in Connecticut (16187) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366109605
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDONALD D RILESCredential: MSW, LCSW
Location Address5 CHURCH STFarmington, CT 06032-2346
Mailing Address5 Church StFarmington, CT 06032-2346 · (218) 831-8958
Phone(218) 831-8958
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 22, 2021
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1366109605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 16187
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.
5 CHURCH ST, Farmington, CT 06032
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Donald D Riles Msw, 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 ID7810470481
PECOS Enrollment IDI20260311003350
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 Reassignments

2

Medicare enrollment records show Donald Riles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Leap-Lifelong Empowerment Aba & Psychotherapy LLC
0.5 mi
Mental Health
2 FOREST PARK DR STE 2-2-LM
Farmington, CT 06032
  • Reassigned Medicare billing, Connecticut enrollment
  • 19 clinicians in this Medicare group
NPI 1740010297 (860) 383-7090
Grow Healthcare Group PA
1,177 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Connecticut and Minnesota enrollments
  • 613 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 06032 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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 Donald Riles's NPI number?

The NPI number for Donald Riles is 1366109605. It was assigned to this individual provider in the NPPES registry on November 22, 2021.

Where is Donald Riles located?

Donald Riles practices at 5 Church St, Farmington, CT 06032. The listed phone number is (218) 831-8958.

What is Donald Riles's specialty?

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

Is Donald Riles enrolled in Medicare?

Yes. Donald Riles 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.

Which organizations bill Medicare for Donald Riles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Riles reassigns Medicare benefits to 2 organizations: Leap-Lifelong Empowerment Aba & Psychotherapy LLC (Farmington, CT) and Grow Healthcare Group PA (Miami, FL). Each 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 Donald Riles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Riles accept?

Health plans from Anthem Blue Cross and Blue Shield list Donald Riles 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 Donald Riles was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.