National Provider Identifier

Joan E Riesenberger, LCSW-R

Joan E Riesenberger, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Penfield, NY and a listed phone number of (585) 377-6470.

NPI 1386883189Penfield, NYClinical Social Worker

Profile Overview

NPI
1386883189
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 18, 2009
Last Updated
February 18, 2009

Practice Location

  • 401 Penbrooke Dr
  • Building 2, Suite K
  • Penfield, NY 14526-2041

Phone: (585) 377-6470

Specialties

  • Clinical Social Worker (1041C0700X)
  • Marriage & Family Therapist (106H00000X)
Full Record
NPI
1386883189
Entity Type
Individual
Last Name
Riesenberger
First Name
Joan
Middle Name
E
Credential
LCSW-R
Mailing Street Address
401 Penbrooke Dr
Mailing Address Line 2
Building 2, Suite K
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-2041
Mailing Country
US
Mailing Phone
(585) 377-6470
Practice Street Address
401 Penbrooke Dr
Practice Address Line 2
Building 2, Suite K
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-2041
Practice Country
US
Practice Phone
(585) 377-6470
Enumeration Date
February 18, 2009
Last Updated
February 18, 2009
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Marriage & Family Therapist (106H00000X)