Provider Demographics
NPI:1538441258
Name:RILEY, SHELBY CATHERINE (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:CATHERINE
Last Name:RILEY
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:1185 FALMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02632-3066
Mailing Address - Country:US
Mailing Address - Phone:508-862-9929
Mailing Address - Fax:508-862-2710
Practice Address - Street 1:1185 FALMOUTH RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02632-3066
Practice Address - Country:US
Practice Address - Phone:508-862-9929
Practice Address - Fax:508-862-2710
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2174081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical