National Provider Identifier

Shannon Riley

Shannon Riley is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Cheektowaga, NY and a listed phone number of (716) 895-7167.

NPI 1982872404Cheektowaga, NYClinical Social Worker

Profile Overview

NPI
1982872404
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 19, 2008
Last Updated
February 19, 2008

Practice Location

  • 1526 Walden Ave
  • Suite 400
  • Cheektowaga, NY 14225-4965

Phone: (716) 895-7167

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1982872404
Entity Type
Individual
Last Name
Riley
First Name
Shannon
Mailing Street Address
1526 Walden Ave
Mailing Address Line 2
Suite 400
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-4965
Mailing Country
US
Mailing Phone
(716) 895-7167
Mailing Fax
(716) 332-4488
Practice Street Address
1526 Walden Ave
Practice Address Line 2
Suite 400
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4965
Practice Country
US
Practice Phone
(716) 895-7167
Practice Fax
(716) 332-4488
Enumeration Date
February 19, 2008
Last Updated
February 19, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)