BLAIRE RILEY (LCSW) – Social Worker, NPI 1104449529

BLAIRE RILEY (LCSW) is a healthcare provider. based in Sedalia, Missouri. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2020016856 (MO). The NPI Number for BLAIRE RILEY (LCSW) is 1104449529

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
BLAIRE RILEY (LCSW)
NPI
1104449529
Phone
(660) 826-4774
Address
821 WESTWOOD DR
Enumeration Date
20 May 2020
Last Update Date
24 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6608908023
Graduation Year
2020 (6 years ago)
PAC ID
8224451000
Group Practice PAC ID
4688561814
Professional Enrollment ID
I20200713001545
Address ID
MO647351192CL1602XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,245 CLINICAL SOCIAL WORKER in MO

Provider Addresses for BLAIRE RILEY (LCSW)

  • 821 WESTWOOD DR

    SEDALIA, MO 653012102

    Phone: (660) 826-4774

    Fax: (888) 979-8868

    Mailing address matches the actual address.

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: 2020-07-13

PECOS data refreshed: 2026-05-27

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
I20200713001545IClinical Social WorkerMOTBD

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 65301)

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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: 4688561814View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Family PracticeMO
Internal MedicineMO
Emergency MedicineGA
-MO
-MO
Family PracticeMO
Nurse PractitionerKS

Reviews

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Frequently asked questions

Does BLAIRE RILEY (LCSW) have a public NPI I can cite?
Public records show BLAIRE RILEY (LCSW) under NPI 1104449529.
Is BLAIRE RILEY (LCSW)'s NPI status active today?
Active status means BLAIRE RILEY (LCSW)'s NPI record is not deactivated in the public file.
How should patients interpret BLAIRE RILEY (LCSW)'s specialty?
The extract shows Social Worker for BLAIRE RILEY (LCSW). Clinical services aligned with this taxonomy classification.
Is BLAIRE RILEY (LCSW) tied to Sedalia, Missouri?
If you are local to Sedalia, Missouri, BLAIRE RILEY (LCSW) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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