MEDICARE: E. ANNE RILEY, PH.D., LCSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	Q1-0000139	DE
2	1041C0700X	Clinical Social Worker	00761	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1006810	OTHER	MD	CIGNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	252779000	OTHER	DE	MAGELLAN
4	7183215	OTHER	MD	AETNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	217899	OTHER	MD	KAISER PERMANENTE
7	1006810	OTHER	DE	CIGNA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	217899	OTHER	DE	KAISER PERMANENTE
10	2148787	OTHER	MD	MAMSI
11	001069	OTHER	DE	VALUEOPTIONS
12	7183215	OTHER	DE	AETNA
13	H106-0001	OTHER	MD	CAREFIRST BCBS NCA
14	001069	OTHER	MD	VALUEOPTIONS
15	2148787	OTHER	DE	MAMSI
16	252779000	OTHER	MD	MAGELLAN

General Provider Information

NPI Number	:	1154544070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E. ANNE RILEY, PH.D., LCSW-C

Provider Business Mailing Address
First Line	:	3144 GRACEFIELD RD
Second Line	:	APT T19
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-5895
Country	:	US
Telephone Number	:	301-273-2424
Fax Number	:	301-273-2426

Provider Business Practice Location Address
First Line	:	3144 GRACEFIELD RD
Second Line	:	APT T19
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-5895
Country	:	US
Telephone Number	:	301-273-2424
Fax Number	:	301-273-2426

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	DR. E. ANNE RILEY
Credential	:	PH.D., LCSW-C
Telephone Number	:	301-273-2424

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	02/04/2016

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