Riverside Counseling Clinic, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6585-123 Issued in WI

Legal business name

RIVERSIDE COUNSELING CLINIC, LLC

Practice address

130 S Barstow St
Eau Claire, WI 54701-3691

Phone

(715) 833-7600

Fax

(715) 833-7116

NPI assigned

May 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra E. Willoughby, MSW, LCSWNPI 1902823826

Title

Partner

Phone

(715) 833-7600

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Elise Willoughby, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Eau Claire, WI
  • NPI 1902823826
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1417160953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S BARSTOW ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013691",
            "telephone_number": "715-833-7600",
            "fax_number": "715-833-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S BARSTOW ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013691",
            "telephone_number": "715-833-7600",
            "fax_number": "715-833-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNSELING CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WILLOUGHBY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "715-833-7600",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2375-057",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6585-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Ritsch, RD
• Amanda Marie Rivas, RN
• River Valley Vision, S.C.
• Elizabeth Rivera
• Maria E Rivero, MD
• Paul Nelson Roadt, LCSW, CSAC
• Robert L Hume DPM
• Christopher Thomas Roberts, MD
• Hailey Marn Roberts, MD
• Holly Ann Roberts, CAPSW CSAC

• Clinical Social Worker in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.