Individual provider · Type 1 NPI

Riley Ennenbach

Clinical Social Worker · Boston, MA

NPI number 1609725639 Active

Practice location

780 American Legion Hwy
Boston, MA 02131-3908

Mailing address

626 E 6th St
South Boston, MA 02127-3130

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1609725639

Riley Ennenbach's National Provider Identifier is 1609725639, issued on Jan 23, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Jan 23, 2026.