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Individual

DOUGLAS C RILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.W., L.I.C.S.W.

Contact information

Practice address
8 ROBERTA DR, SOUTH DARTMOUTH, MA 02748-2020
(508) 992-9376
(508) 992-9420
Mailing address
8 ROBERTA DR, SOUTH DARTMOUTH, MA 02748-2020
(508) 992-9376
(508) 992-9420

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100524
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000022694
BMC HEALTHNET PLAN
MA
01
008898
VALUE OPTIONS
MA
01
176982
MAGELLAN BEHAVIORAL HEALT
MA
01
1892193
MBHP
MA
01
2081751
CIGNA BEHVIORAL HEALTH
MA
01
6212763
UNITED BEHAVIORAL HEALTH
MA
01
P01557
MA BLUE SHIELD
MA
01
SO13145
CHAMPUS/TRICARE
MA
Enumeration date
05/30/2006
Last updated
07/08/2007
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