Provider Demographics
NPI:1093114332
Name:DWORSKI-RIGGS, DEANNE
Entity type:Individual
Prefix:
First Name:DEANNE
Middle Name:
Last Name:DWORSKI-RIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DBA DEANNE
Other - Middle Name:
Other - Last Name:DWORSKI-RIGGS THERAPY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:86 WYOMING AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-1351
Mailing Address - Country:US
Mailing Address - Phone:617-871-0694
Mailing Address - Fax:
Practice Address - Street 1:86 WYOMING AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-1351
Practice Address - Country:US
Practice Address - Phone:617-871-0694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-21
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1209201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical