Provider Demographics
NPI:1659141018
Name:RIEGLER, HAILEY MARIE (MSW, LSW, CSW)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:MARIE
Last Name:RIEGLER
Suffix:
Gender:F
Credentials:MSW, LSW, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 VALLEY RIDGE CIR UNIT D
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:KY
Mailing Address - Zip Code:41076-9321
Mailing Address - Country:US
Mailing Address - Phone:859-912-4957
Mailing Address - Fax:
Practice Address - Street 1:541 BUTTERMILK PIKE
Practice Address - Street 2:
Practice Address - City:CRESCENT SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:41017-1696
Practice Address - Country:US
Practice Address - Phone:859-869-2023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY254845104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker