Healthcare Provider Details

I. General information

NPI: 1770792913
Provider Name (Legal Business Name): JANET RIZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

687 HIGHLAND AVE SUITE 16
NEEDHAM MA
02494-2232
US

IV. Provider business mailing address

687 HIGHLAND AVE SUITE 16
NEEDHAM MA
02494-2232
US

V. Phone/Fax

Practice location:
  • Phone: 800-455-8726
  • Fax: 866-455-8839
Mailing address:
  • Phone: 800-455-8726
  • Fax: 866-455-8839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW01333
License Number StateRI

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: