DESTINY RICCIO – Social Worker, NPI 1104476027

DESTINY RICCIO is a healthcare provider. based in Lancaster, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold a License No. S.1903992 (OH). The NPI Number for DESTINY RICCIO is 1104476027

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DESTINY RICCIO
NPI
1104476027
Phone
(740) 901-3150
Address
230 N COLUMBUS ST STE 2
Enumeration Date
12 September 2019
Last Update Date
1 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207243668
Graduation Year
2020 (6 years ago)
PAC ID
9133632532
Group Practice PAC ID
3274949730
Professional Enrollment ID
I20250630001708
Address ID
CO801114724GR7951XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for DESTINY RICCIO

  • North Columbus Street, Lancaster, Fairfield County, Ohio, 43130, United States

    LANCASTER, OH 431303005

    Phone: (740) 901-3150

    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: 2025-06-30

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
I20250630001708IClinical Social WorkerCOTBD

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 43130)

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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: 3274949730View full group profile
NameSpecialtyState
Physician AssistantCO
Mental Health CounselorCO
Clinical PsychologistCO
Nurse PractitionerCO
Physician AssistantCO
Physician AssistantMD
Physician AssistantCO
Psychiatry, Pediatric MedicineFL
Physician AssistantIL
P S Y C H I A T R YCO

Reviews

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Frequently asked questions

How do I look up DESTINY RICCIO by NPI?
Use NPI 1104476027 when you need to reference DESTINY RICCIO in forms, claims, or directories.
Is DESTINY RICCIO's NPI currently valid?
The extract we use shows DESTINY RICCIO as active.
What kind of provider is DESTINY RICCIO?
The page reflects Social Worker for DESTINY RICCIO. Clinical services aligned with this taxonomy classification.
Where is DESTINY RICCIO's primary listing?
We display Lancaster, Ohio because that is what the record indicates for DESTINY RICCIO.
Is DESTINY RICCIO a real provider?
This page reflects official NPPES data for NPI 1104476027. Always confirm identity and privileges with the practice and licensing boards.

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