Provider Demographics
NPI:1013520022
Name:YANG, RILEY (LCSWA, MSW, MPH)
Entity Type:Individual
Prefix:
First Name:RILEY
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:LCSWA, MSW, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 S MCNEILL ST
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NC
Mailing Address - Zip Code:28327-8987
Mailing Address - Country:US
Mailing Address - Phone:732-618-1626
Mailing Address - Fax:
Practice Address - Street 1:408 S MCNEILL ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NC
Practice Address - Zip Code:28327-8987
Practice Address - Country:US
Practice Address - Phone:732-618-1626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0144941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical