Provider Demographics
NPI:1639748155
Name:RILEY, JAMILA (LMSW)
Entity type:Individual
Prefix:
First Name:JAMILA
Middle Name:
Last Name:RILEY
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3160 S VALLEY VIEW BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-0024
Mailing Address - Country:US
Mailing Address - Phone:702-266-3493
Mailing Address - Fax:
Practice Address - Street 1:3160 S VALLEY VIEW BLVD STE 204
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-0024
Practice Address - Country:US
Practice Address - Phone:314-437-0377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-19
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV104100000X
TX1079331041C0700X
NV11291-C1041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical