Katherine Rivera
Individual provider Active NPI Social Worker · Bogota, NJ
NPI 1043097009 · NPPES record last updated Sep 13, 2023
Key facts
- NPI
- 1043097009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 412 Leonia Ave
Bogota, NJ 07603-1117 - Phone
- (201) 785-7236
- NPI assigned
- Sep 13, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
412 Leonia Ave
Bogota, NJ 07603-1117
Mailing address
412 Leonia Ave
Bogota, NJ 07603-1117
Phone (201) 785-7236
Other providers in Bogota, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.