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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05390300 | NJ | MD | Clinical Social Worker |
| CW016227 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Polaris Counseling and Wellness LLC | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Roxanne Nichole Lockwood
- Lords Valley Dental Care PC
- Lindsay Masker
- Traceyan R. Mendez
- Neil Petrosky
- Michael Rohan
- Julie Sabella
- Lynn Salvati
- Silvia A Seu
- Toby Roslyn Silverman
All providers in Lords Valley, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.