Provider Demographics
NPI:1063670164
Name:KRIEGER, RHONDA MARIE I (RCSWI SWI 2438)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:MARIE
Last Name:KRIEGER
Suffix:I
Gender:F
Credentials:RCSWI SWI 2438
Other - Prefix:MRS
Other - First Name:RHONDA KRIEGER
Other - Middle Name:MARIE
Other - Last Name:HORNOT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SOCIAL WORKER
Mailing Address - Street 1:8230 45TH WAY N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33418-6170
Mailing Address - Country:US
Mailing Address - Phone:561-694-1577
Mailing Address - Fax:561-691-5076
Practice Address - Street 1:8230 45TH WAY N
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33418-6170
Practice Address - Country:US
Practice Address - Phone:561-694-1577
Practice Address - Fax:561-691-5076
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRCSWI SWI 2438101YM0800X, 1041C0700X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator