Healthcare Provider Details

I. General information

NPI: 1417869892
Provider Name (Legal Business Name): RILEY KATHARINE LENETSKY LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1062 STATE ROUTE 38
OWEGO NY
13827-3209
US

IV. Provider business mailing address

29 RENWICK HEIGHTS RD
ITHACA NY
14850-2143
US

V. Phone/Fax

Practice location:
  • Phone: 607-687-4000
  • Fax:
Mailing address:
  • Phone: 607-687-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: