Provider Demographics
NPI:1134293848
Name:RIOFRIO, ADRIENNE VERONICA (LCSW)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:VERONICA
Last Name:RIOFRIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2417
Mailing Address - Country:US
Mailing Address - Phone:646-522-3546
Mailing Address - Fax:973-744-0520
Practice Address - Street 1:38 PARK ST
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3440
Practice Address - Country:US
Practice Address - Phone:646-522-3546
Practice Address - Fax:973-744-0520
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072568-11041C0700X
NJ44SC053564001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical