Provider Demographics
NPI:1952547465
Name:RIFFLE, BARBARA ANNE (LISW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANNE
Last Name:RIFFLE
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2157 GULL WAY
Mailing Address - Street 2:
Mailing Address - City:CAMANO ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98282-7019
Mailing Address - Country:US
Mailing Address - Phone:360-387-8621
Mailing Address - Fax:
Practice Address - Street 1:127 NE CAMANO DR
Practice Address - Street 2:SUITE C
Practice Address - City:CAMANO ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98282-8732
Practice Address - Country:US
Practice Address - Phone:360-387-2736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000086021041C0700X
NM1-048301041C0700X
CALCS-149321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical