Provider Demographics
NPI:1790276020
Name:RIORDAN, CASEY EILEEN (LPC)
Entity type:Individual
Prefix:MS
First Name:CASEY
Middle Name:EILEEN
Last Name:RIORDAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:CASEY
Other - Middle Name:RIORDAN
Other - Last Name:MILLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:5919 KIMBERLY AVENUE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213
Mailing Address - Country:US
Mailing Address - Phone:513-703-7771
Mailing Address - Fax:513-337-5885
Practice Address - Street 1:443 LOVELAND AVENUE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140
Practice Address - Country:US
Practice Address - Phone:513-788-1757
Practice Address - Fax:513-337-5885
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-22
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2404287101YM0800X
OHC.1801016-TRNE101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health