Provider Demographics
NPI:1760404123
Name:RILEY, APRIL ELAINE (MSW, LCSW, LISW-CP)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:ELAINE
Last Name:RILEY
Suffix:
Gender:F
Credentials:MSW, LCSW, LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3919 NW 19TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-1813
Mailing Address - Country:US
Mailing Address - Phone:352-375-5199
Mailing Address - Fax:
Practice Address - Street 1:2002 NW 13TH ST
Practice Address - Street 2:SUITE 120
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-5414
Practice Address - Country:US
Practice Address - Phone:352-376-1611
Practice Address - Fax:352-376-9482
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW70741041C0700X
SCLISW -CP 55401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical