Provider Demographics
NPI:1336038900
Name:GARSKI, RILEY (APSW SAC-IT)
Entity type:Individual
Prefix:
First Name:RILEY
Middle Name:
Last Name:GARSKI
Suffix:
Gender:M
Credentials:APSW SAC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 TWO MILE AVE
Mailing Address - Street 2:
Mailing Address - City:WISCONSIN RAPIDS
Mailing Address - State:WI
Mailing Address - Zip Code:54494-6661
Mailing Address - Country:US
Mailing Address - Phone:715-421-1107
Mailing Address - Fax:715-421-1108
Practice Address - Street 1:820 TWO MILE AVE
Practice Address - Street 2:
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54494-6661
Practice Address - Country:US
Practice Address - Phone:715-421-1107
Practice Address - Fax:715-421-1108
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI135598-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical