Eileen Riley, LCSW

Individual provider Active NPI Clinical Social Worker · Lords Valley, PA

NPI 1679886261 · NPPES record last updated Mar 29, 2012

Key facts

NPI
1679886261
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CW016227 (PA)
Practice address
110 Hemlock Farms Road
Lords Valley, PA 18428
Phone
(862) 268-3963
NPI assigned
Jul 23, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
44SC05390300NJMDClinical Social Worker
CW016227PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Counseling and Wellness LLC Clinical Past
since Oct 22, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW016227 PA Yes
Clinical Social Worker 1041C0700X 44SC05390300 NJ

Addresses

Primary practice location

110 Hemlock Farms Road
Lords Valley, PA 18428

Mailing address

1592 Hemlock Farms
Lords Valley, PA 18428

Other providers in Lords Valley, PA

All providers in Lords Valley, PA · Clinical Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.