Provider Demographics
NPI:1508167537
Name:RIORDAN, PATRICIA C (LISW-CP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:C
Last Name:RIORDAN
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 CAPRIOLE CT
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-5517
Mailing Address - Country:US
Mailing Address - Phone:864-449-0301
Mailing Address - Fax:
Practice Address - Street 1:102 CAPRIOLE CT
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-5517
Practice Address - Country:US
Practice Address - Phone:864-449-0301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC54101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical