Provider Demographics
NPI:1316362460
Name:RIOLA, VICTORIA E (LISW-S)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:E
Last Name:RIOLA
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:E
Other - Last Name:PATRELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW-S
Mailing Address - Street 1:9810 RAVENNA RD STE 2
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-1761
Mailing Address - Country:US
Mailing Address - Phone:330-331-2188
Mailing Address - Fax:330-331-2188
Practice Address - Street 1:9810 RAVENNA RD STE 1
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087
Practice Address - Country:US
Practice Address - Phone:330-331-2188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1302665104100000X
OHI1500938-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker