Robert Riley Iii, LCSW | |
2125 16th St, Bedford, IN 47421-3003 | |
(812) 275-4053 | |
(812) 275-5494 |
Full Name | Robert Riley Iii |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2125 16th St, Bedford, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1649058660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34003606A (Indiana) | Primary |
Entity Name | Hoosier Uplands Economic Development Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376813147 PECOS PAC ID: 4082767496 Enrollment ID: O20120222000487 |
Mailing Address | Practice Location Address |
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Robert Riley Iii, LCSW 2125 16th St, Bedford, IN 47421-3003 Ph: (812) 275-4053 | Robert Riley Iii, LCSW 2125 16th St, Bedford, IN 47421-3003 Ph: (812) 275-4053 |
Patricia Yaryan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1315 Hillcrest Rd, Bedford, IN 47421 Phone: 812-329-4950 | |
Jonikka Elizabeth Vance, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1315 Hillcrest Rd, Bedford, IN 47421 Phone: 812-279-3591 Fax: 812-275-0787 | |
Sharon Kristine Adams, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2325 Q St, Bedford, IN 47421 Phone: 812-279-4673 Fax: 812-279-4672 | |
Mindi L Robinson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2325 Q St, Bedford, IN 47421 Phone: 812-279-4673 Fax: 812-279-4672 | |
Megan Hawk, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1315 Hillcrest Rd, Bedford, IN 47421 Phone: 812-279-3591 Fax: 812-275-0787 | |
Nikkia O'bannon, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1315 Hillcrest Rd, Bedford, IN 47421 Phone: 812-329-4950 | |
Susan L Burk, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1315 Hillcrest Rd, Bedford, IN 47421 Phone: 812-279-3591 Fax: 812-275-0787 |