Kelly Johnanna Riascos, MSW LCSW is a
Social Worker - Clinical based in Orlando, Florida. Kelly Johnanna Riascos is licensed to practice in * (Not Available) (license number ) and her current practice location is
1878 Island Walk Dr, Orlando, Florida. She can be reached at her office (for appointments etc.) via phone at
(407) 232-0995.
NPI number for Kelly Johnanna Riascos is 1649755042 and her current mailing address is 1878 Island Walk Dr, Orlando, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649755042.
Healthcare Provider's Profile
Full Name | Kelly Johnanna Riascos |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1878 Island Walk Dr, Orlando, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649755042
- Provider Enumeration Date: 10/02/2018
- Last Update Date: 06/17/2024
Medical Identifiers
Medical identifiers for Kelly Johnanna Riascos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649755042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | SW22806 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Johnanna Riascos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Johnanna Riascos, MSW LCSW 1878 Island Walk Dr, Orlando, FL 32824-4704 Ph: (407) 232-0995 | Kelly Johnanna Riascos, MSW LCSW 1878 Island Walk Dr, Orlando, FL 32824-4704 Ph: (407) 232-0995 |
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