Provider Demographics
NPI:1689387862
Name:RILEY, SARAH C (LCSWA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:RILEY
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 CHIMNEY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-5539
Mailing Address - Country:US
Mailing Address - Phone:540-493-3123
Mailing Address - Fax:
Practice Address - Street 1:1306 CHIMNEY RIDGE DR
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-5539
Practice Address - Country:US
Practice Address - Phone:540-493-3123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0185311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical