Provider Demographics
NPI:1790544757
Name:RILEY, HALEY NOELLE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:NOELLE
Last Name:RILEY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 MEDITERRANEAN DR APT 59
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-3822
Mailing Address - Country:US
Mailing Address - Phone:781-350-8060
Mailing Address - Fax:
Practice Address - Street 1:80 MEDITERRANEAN DR APT 59
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-3822
Practice Address - Country:US
Practice Address - Phone:781-350-8060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226704104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker