Provider Demographics
NPI:1548430499
Name:RIEHM, KAY D (LCSW)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:D
Last Name:RIEHM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 S MAINE ST # 8
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-3340
Mailing Address - Country:US
Mailing Address - Phone:775-423-5381
Mailing Address - Fax:775-423-4930
Practice Address - Street 1:270 S MAINE ST # 8
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-3340
Practice Address - Country:US
Practice Address - Phone:775-423-5381
Practice Address - Fax:775-423-4930
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4325C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV4325 COtherSTATE LICENSE
NV4325 COtherSTATE LICENSE