CATHERINE JO RISLEY (LMSW) – Clinical Social Worker, NPI 1124401161

CATHERINE JO RISLEY (LMSW) is a healthcare provider. based in Rockford, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801089057 (MI). The NPI Number for CATHERINE JO RISLEY (LMSW) is 1124401161

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
CATHERINE JO RISLEY (LMSW)
NPI
1124401161
Phone
(616) 617-8434
Address
39 GIBRALTAR DR NE
Enumeration Date
8 July 2015
Last Update Date
21 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168053660
Graduation Year
1988 (38 years ago)
PAC ID
9436544806
Group Practice PAC ID
9234469255
Professional Enrollment ID
I20220322000670
Address ID
MI495462395GR625XXSEXX459
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

4,887 CLINICAL SOCIAL WORKER in MI

Provider Addresses for CATHERINE JO RISLEY (LMSW)

  • 39 GIBRALTAR DR NE

    ROCKFORD, MI 493419239

    Phone: (616) 617-8434

    Type: Mailing

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 2750 E BELTLINE AVE NE

    GRAND RAPIDS, MI 495258614

    Phone: (616) 267-7015

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220322000670IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49341)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234469255View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is the registry number for CATHERINE JO RISLEY (LMSW)?
The registry entry for CATHERINE JO RISLEY (LMSW) shows NPI 1124401161.
Is CATHERINE JO RISLEY (LMSW)'s NPI status active today?
Active status means CATHERINE JO RISLEY (LMSW)'s NPI record is not deactivated in the public file.
What services align with CATHERINE JO RISLEY (LMSW)'s listing?
CATHERINE JO RISLEY (LMSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to CATHERINE JO RISLEY (LMSW)?
CATHERINE JO RISLEY (LMSW) shows a connection to Rockford, Michigan in registry-derived data.
Why is information missing for CATHERINE JO RISLEY (LMSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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