Provider Demographics
NPI:1154544070
Name:E. ANNE RILEY, PH.D., LCSW-C
Entity type:Organization
Organization Name:E. ANNE RILEY, PH.D., LCSW-C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:E. ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW-C
Authorized Official - Phone:301-273-2424
Mailing Address - Street 1:3144 GRACEFIELD RD
Mailing Address - Street 2:APT T19
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-5895
Mailing Address - Country:US
Mailing Address - Phone:301-273-2424
Mailing Address - Fax:301-273-2426
Practice Address - Street 1:3144 GRACEFIELD RD
Practice Address - Street 2:APT T19
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-5895
Practice Address - Country:US
Practice Address - Phone:301-273-2424
Practice Address - Fax:301-273-2426
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:E ANNE RILEY PHD LCSW
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-10
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD007611041C0700X
DEQ1-00001391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1006810OtherCIGNA
MD182331100Medicaid
DE252779000OtherMAGELLAN
MD7183215OtherAETNA
DE1000037342OtherDELAWARE MEDICAID
MD217899OtherKAISER PERMANENTE
DE1006810OtherCIGNA
DE182331101Medicaid
DE217899OtherKAISER PERMANENTE
MD2148787OtherMAMSI
DE001069OtherVALUEOPTIONS
DE7183215OtherAETNA
MDH106-0001OtherCAREFIRST BCBS NCA
MD001069OtherVALUEOPTIONS
DE2148787OtherMAMSI
MD252779000OtherMAGELLAN
MD001069OtherVALUEOPTIONS
MD646334Medicare ID - Type UnspecifiedMEDICARE IDENTIFIER