Riley Everson, LCSW

NPI #1295160190 in Cannon Afb, New Mexico

Provider Information

NPI Number: 1295160190
Entity Type: Individual
Name: Riley Everson, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Sep 10, 2013
Last Updated: Jul 21, 2023

Practice Location

Address: 224 W D. L. INGRAM AVENUE, BLDG. 1408
City: Cannon Afb
State: New Mexico
ZIP Code: 88103-9365
Phone: (850) 797-1153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Social Worker - Clinical — Clinical	1041C0700X
Case Manager/Care Coordinator	171M00000X

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