Lisa Marie Rivera, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9611 Issued in CT

Practice address

181 Main St
Danielson, CT 06239-2815

Phone

(860) 753-6014

Fax

(877) 552-0608

NPI assigned

Jan 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Full Circle Family Services at White Brook Farm, LLC

  • Clinical Social Worker
  • Danielson, CT
  • NPI 1326587882
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1053856989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062390067",
            "telephone_number": "860-753-6015",
            "fax_number": "860-753-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MAIN ST",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392815",
            "telephone_number": "860-753-6014",
            "fax_number": "877-552-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147B Route 169",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "CT",
            "postal_code": "062813327",
            "country_code": "US",
            "telephone_number": "860-753-6015",
            "fax_number": "877-552-0608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Frog Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "CT",
            "postal_code": "062813009",
            "country_code": "US",
            "telephone_number": "860-753-6015",
            "fax_number": "877-552-0608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LISA MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-02",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Restor, LPCA
• Rethink Therapy LLC
• Brittany Sue Reynolds, RDH, PHDH
• Diane J Richards-Penland, LADC
• Meredith Richards, LMFT
• Stephanie Roers, LAC
• Emma Rogers
• Seleena Rosado, LMFTA
• Kate Rosenblatt
• Corbin C Royce

• Clinical Social Worker in Danielson, CT
• Providers in Danielson, 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 May 19, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.