Doctor Name: | JULIE A RILEY |
NPI Number: | 1003153669 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 73084307 |
Business Practice Address: | 372 Fullerton Ave Newburgh, NY - 125503744 |
Business Phone Number: | 8455270110 |
Business Fax Number: | |
Mailing Address: | 2 Balmville Rd, NEWBURGH |
State: | NY |
Postal Code: | 125501910 |
Phone Number: | 8455270110 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2013 |
NPI Last Update Date: | 04/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 73084307 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |