Provider Demographics
NPI:1366695637
Name:RILEY, LORI ANNE (LCSW)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:ANNE
Last Name:RILEY
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 1:4416 WHITMOOR AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-6549
Mailing Address - Country:US
Mailing Address - Phone:812-664-7718
Mailing Address - Fax:812-909-3001
Practice Address - Street 1:101 PLAZA EAST BLVD STE 224
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-2806
Practice Address - Country:US
Practice Address - Phone:812-664-7718
Practice Address - Fax:812-909-3001
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor