Provider Demographics
NPI:1013376458
Name:TREESH, RIKKI LYNN (MSW)
Entity Type:Individual
Prefix:
First Name:RIKKI
Middle Name:LYNN
Last Name:TREESH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4918 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46835-4102
Mailing Address - Country:US
Mailing Address - Phone:260-241-6191
Mailing Address - Fax:
Practice Address - Street 1:4918 CANTERBURY DR
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46835-4102
Practice Address - Country:US
Practice Address - Phone:260-241-6191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-13
Last Update Date:2016-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical