Individual provider Active NPI

Duarji Maliek Rivas, LICSW

  • Clinical Social Worker
  • Amherst, MA
National Provider Identifier
1073795415
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
122005 Issued in MA
Practice address
48 N Pleasant St Ste 207
Amherst, MA 01002-1741
Phone
(413) 461-4042
Fax
(413) 726-6001
NPI assigned
Nov 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 122005 MA Primary

Addresses

Primary practice location

48 N Pleasant St Ste 207
Amherst, MA 01002-1741

Mailing address

48 N Pleasant St Ste 207
Amherst, MA 01002-1741
Phone (413) 461-4042

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amherst Psychotherapy Practice PC Clinical CurrentSince Jun 15, 2020 Accepting new patients
Duarji M Rivas, LLC Current Accepting new patients

Locations

48 N Pleasant St
Ste 207
Amherst, MA 01002
Phone (413) 200-8024

4 Bay Rd
Hadley, MA 01035
Phone (413) 200-8024

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1073795415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 N PLEASANT ST STE 207",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021741",
            "telephone_number": "413-461-4042",
            "fax_number": "413-726-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N PLEASANT ST STE 207",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021741",
            "telephone_number": "413-461-4042",
            "fax_number": "413-726-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "DUARJI",
        "middle_name": "MALIEK",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.