Michael A. Rivera, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008809 Issued in CT

Practice address

27 Patriots SQ
Mansfield Center, CT 06250-1517

Phone

(860) 752-4249

NPI assigned

Mar 12, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kerith Brook CFC

  • Clinic/Center
  • Mansfield Center, CT
  • NPI 1932851102

  Single Specialty

  NPD Authorized official
• First Choice Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Hartford, CT
  • NPI 1215518733
  NPD
• First Choice Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Hartford, CT
  • NPI 1215923131

  Single Specialty

  NPD
• Kerith Brook Counseling, LLC

  • Clinic/Center
  • West Hartford, CT
  • NPI 1417711847

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1003209198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PATRIOTS SQ",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501517",
            "telephone_number": "860-752-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PATRIOTS SQ",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501517",
            "telephone_number": "860-752-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-12",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "7912",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "005297",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmain Reese
• Amanda Avery Risley, LPC
• Phoebe Ritrovato, LMSW
• Alice Rivard
• Jessie Marie Rivera
• Rolando Rivera
• Melisa Roberson, LMSW
• Deborah Roberts, RPH
• Hadiya N Robinson
• Holly J Rochlin, MSW

• Clinical Social Worker in Mansfield Center, CT
• Providers in Mansfield Center, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.