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Contact Information

DR. DONNA RILEY OFFICE OF LICENSED CLINICAL SOCIAL WORK, PLLC
2233 NESCONSET HWY STE 100
LAKE GROVE, NY11755-1000
 Phone: 631-602-7856
 Fax: 631-602-7857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DR DONNA RILEY OFFICE OF LICENSED CLINICAL SOCIAL WORK PLLC · (Female)

NPI # 1811649833
Status Active
Credentials
Entity Individual
Enumeration date 01/20/2022
Last updated 02/01/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 03364918
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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