Provider Demographics
NPI:1265394423
Name:RIOS, NIKA (EDD,MSW,RCSWI)
Entity type:Individual
Prefix:MRS
First Name:NIKA
Middle Name:
Last Name:RIOS
Suffix:
Gender:F
Credentials:EDD,MSW,RCSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5515 AVENUE DU SOLEIL
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-2835
Mailing Address - Country:US
Mailing Address - Phone:352-398-3833
Mailing Address - Fax:
Practice Address - Street 1:6311 SHELDON RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-3117
Practice Address - Country:US
Practice Address - Phone:352-398-3833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-26
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW22684104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty