James Edwin Riley is a Clinical in Goldsby, Oklahoma. James Edwin Riley practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Edwin Riley is 1710166111. The last update date is 2012-01-12.
James Edwin Riley's current location address is 1025 Wagon Trail Ln, Goldsby, Oklahoma. You can contact this provider via phone number 4052882611. The mailing address for James Edwin Riley is 1025 Wagon Trail Ln, Goldsby, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Edwin Riley |
|---|---|
| Address | 1025 Wagon Trail Ln, Goldsby, Oklahoma |
| Phone Number | 4052882611 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1710166111 |
|---|---|
| Provider Enumeration Date | 2007-11-01 |
| Last Updated Date | 2012-01-12 |
Provider Mailing Address Detail
| Address | 1025 Wagon Trail Ln |
|---|---|
| City | Goldsby |
| State | Oklahoma (OK) |
| Post Code | 730939153 |
| Phone Number | 4052882611 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3484 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to James Edwin Riley by the Centers for Medicare & Medicaid Services?
The James Edwin Riley has been assigned the NPI (National Provider Identifier) 1710166111. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of James Edwin Riley?
The James Edwin Riley is physically situated at 1025 Wagon Trail Ln, in the city of Goldsby, state of OK, with the postal code 730939153.
What is James Edwin Riley's specialized field of practice, and what is the corresponding taxonomy classification code?
The James Edwin Riley's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the James Edwin Riley's 1710166111 issued?
The James Edwin Riley's 1710166111 was issued on 2007-11-01.
As of what date were the details pertaining to James Edwin Riley last refreshed?
The information related to the James Edwin Riley, including its address, specialty, and other relevant details, was last updated on 2012-01-12.
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