MEDICARE: RIVERBEND THERAPY PLLC

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

General Provider Information

NPI Number	:	1538023130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERBEND THERAPY PLLC

Provider Business Mailing Address
First Line	:	318 60TH ST
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23607-1908
Country	:	US
Telephone Number	:	757-968-3558
Fax Number	:

Provider Business Practice Location Address
First Line	:	318 60TH ST
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23607-1908
Country	:	US
Telephone Number	:	757-968-3558
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERIN RISSLING MATTHEWS
Credential	:	LCSW
Telephone Number	:	757-968-3558

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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