Provider Demographics
NPI:1841080504
Name:RILEY, CHYNA (MSW, LSW, LCSWA)
Entity type:Individual
Prefix:
First Name:CHYNA
Middle Name:
Last Name:RILEY
Suffix:
Gender:
Credentials:MSW, LSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 PROVIDENCE RD APT 128B
Mailing Address - Street 2:
Mailing Address - City:SECANE
Mailing Address - State:PA
Mailing Address - Zip Code:19018-2835
Mailing Address - Country:US
Mailing Address - Phone:215-868-4807
Mailing Address - Fax:215-868-4807
Practice Address - Street 1:1250 PROVIDENCE RD APT 128B
Practice Address - Street 2:
Practice Address - City:SECANE
Practice Address - State:PA
Practice Address - Zip Code:19018-2835
Practice Address - Country:US
Practice Address - Phone:215-868-4807
Practice Address - Fax:215-868-4807
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker