Individual
AMY RIEHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1120 S PARK BLVD, FREEPORT, IL 61032-4619
(815) 235-0009
(815) 801-7665
Mailing address
1315 W DEMETER DR, FREEPORT, IL 61032-6607
(815) 235-0009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149009805
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8932016
BLUE SHIELD PROVIDER #
IL
Enumeration date
07/27/2006
Last updated
08/25/2024
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