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Organization

E. ANNE RILEY, PH.D., LCSW-C

Active
Parent organization
E ANNE RILEY PHD LCSW
Organization subpart
Yes

Provider details

NPI number
Legal business name
E ANNE RILEY PHD LCSW
Authorized official
DR. E. ANNE RILEY PH.D., LCSW-C (OWNER/PROVIDER)
(301) 273-2424
Entity
Organization

Contact information

Practice address
3144 GRACEFIELD RD, APT T19, SILVER SPRING, MD 20904-5895
(301) 273-2424
(301) 273-2426
Mailing address
3144 GRACEFIELD RD, APT T19, SILVER SPRING, MD 20904-5895
(301) 273-2424
(301) 273-2426

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00761
MD
1041C0700X
Clinical Social Worker
Q1-0000139
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001069
VALUEOPTIONS
DE
01
001069
VALUEOPTIONS
MD
01
1000037342
DELAWARE MEDICAID
DE
01
1006810
CIGNA
DE
01
1006810
CIGNA
MD
05
182331100
MD
05
182331101
DE
01
2148787
MAMSI
DE
01
2148787
MAMSI
MD
01
217899
KAISER PERMANENTE
DE
01
217899
KAISER PERMANENTE
MD
01
252779000
MAGELLAN
DE
01
252779000
MAGELLAN
MD
01
7183215
AETNA
DE
01
7183215
AETNA
MD
01
H106-0001
CAREFIRST BCBS NCA
MD
Enumeration date
04/10/2007
Last updated
02/04/2016
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