Provider Demographics
NPI:1568012920
Name:RIEHLE, WENLING (LCSW)
Entity Type:Individual
Prefix:
First Name:WENLING
Middle Name:
Last Name:RIEHLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:WENLING
Other - Middle Name:
Other - Last Name:LIAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:283 W 2ND ST STE 1
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-3812
Mailing Address - Country:US
Mailing Address - Phone:315-342-4489
Mailing Address - Fax:315-343-3281
Practice Address - Street 1:61 DELANO ST
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:NY
Practice Address - Zip Code:13142-1400
Practice Address - Country:US
Practice Address - Phone:315-298-6569
Practice Address - Fax:315-298-7488
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0876531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical