Grace Charriez Rivera, LCSW

Individual provider Active NPI School Social Worker · Broadlands, VA

NPI 1053952507 · NPPES record last updated Apr 26, 2023

Key facts

NPI
1053952507
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
Practice address
21000 Education CT
Broadlands, VA 20148-5526
Phone
(571) 252-1014
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun County Public Schools Past
since Oct 13, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X Yes

Addresses

Primary practice location

21000 Education CT
Broadlands, VA 20148-5526

Mailing address

21000 Education CT
Broadlands, VA 20148-5526

Other providers in Broadlands, VA

All providers in Broadlands, VA · School Social Worker in Virginia

Sources for this page

Verify at the official NPI Registry.