| Christina Ella Emde Riley, LCSW | |
|
158 N Orth First East Street, Driggs, ID 83422 | |
| (307) 730-7060 | |
| (208) 787-5683 |
| Full Name | Christina Ella Emde Riley |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 158 N Orth First East Street, Driggs, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043377120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-26777 (Idaho) | Primary |
| 1041C0700X | Social Worker - Clinical | LCSW-377 (Wyoming) | Secondary |
| Entity Name | Insights Counseling, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730579780 PECOS PAC ID: 5395060628 Enrollment ID: O20150209001741 |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Ella Emde Riley, LCSW 163 E 1025 S, Victor, ID 83455-5503 Ph: (307) 730-7060 | Christina Ella Emde Riley, LCSW 158 N Orth First East Street, Driggs, ID 83422 Ph: (307) 730-7060 |
Terrell L. Kelly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 E Howard St, Driggs, ID 83422 Phone: 208-354-6317 | |
Jeff Roelke, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 89 N Main St, Driggs, ID 83422 Phone: 208-201-7049 | |
Louis J Parri, CSWP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 50 Ski Hill Rd, Driggs, ID 83422 Phone: 208-354-3128 Fax: 208-354-3128 |