Candice C Rivera, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

83407 Issued in CA

Practice address

223 N Jackson St
Glendale, CA 91206-4334

Phone

(818) 241-3111

NPI assigned

Jul 15, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Glendale Unified School District

  • Local Education Agency (LEA)
  • Glendale, CA
  • NPI 1497897292
  NPD (past)

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1073121158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3592",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912210592",
            "telephone_number": "818-441-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N JACKSON ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064334",
            "telephone_number": "818-241-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "CANDICE",
        "middle_name": "C",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "83407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelvin Rivas
• Melissa Daneri Rivas, BA/ BCAT
• Ajani Rivera
• Alejandra Angelica Rivera
• Angela Rivera
• Graciela Rivera
• Ivette Rivera
• Robert Edenilson Rivera, RRT
• Riverside Fletcher Medical Group
• RL Doyan MD, Inc

• Social Worker in Glendale, CA
• Providers in Glendale, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.