Individual provider Active NPI

Joanna A Rivera, MSW, LCSW

  • Clinical Social Worker
  • Portage, MI
National Provider Identifier
1083181028
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801113841 Issued in MI
Practice address
1125 E Milham Ave Ste B
Portage, MI 49002-3096
Phone
(269) 312-1446
Fax
(269) 225-6949
NPI assigned
Oct 29, 2018
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09928581 CO
Clinical Social Worker 1041C0700X 6801113841 MI Primary

Addresses

Primary practice location

1125 E Milham Ave Ste B
Portage, MI 49002-3096

Mailing address

PO Box 2174
Kalamazoo, MI 49003-2174
Phone (269) 312-1446

Other practice location 1

8931 Huron St
Thornton, CO 80260-6806
Phone (303) 853-3500

Other practice location 2

1850 E Egbert St Ste 200
Brighton, CO 80601-2484
Phone (303) 853-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221109002974 CO Practitioner - Clinical Social Worker 2668849365 Reassigns benefits to 1 organization
I20250630002369 MI Practitioner - Clinical Social Worker 2668849365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serene SolutionsGroup PAC ID 0042641136, 17 clinicians

Practice addresses (Care Compare)

1125 E Milham Ave
Suite B
Portage, MI 49002-3096
Phone (269) 312-1446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Reach Center, Inc Current Accepting new patients
Serene Solutions CurrentSince Jun 11, 2025 Accepting new patients
Community Reach Center, Inc CurrentSince Sep 26, 2022 Accepting new patients
Bethany Christian Serv Ices Past Accepting new patients
Bethany Christian Service Clinical Past Accepting new patients

Locations

1850 E Egbert St
Fl 2
Brighton, CO 80601

8931 Huron St
Thornton, CO 80260
Phone (303) 853-3433

1870 W 122nd Ave
Ste 100
Westminster, CO 80234
Phone (303) 853-3800

4341 S Westnedge Ave
Ste 1106
Kalamazoo, MI 49008
Phone (269) 312-1446

1125 E Milham Ave
Ste B
Portage, MI 49002
Phone (269) 312-1446

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1083181028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2174",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490032174",
            "telephone_number": "269-312-1446",
            "fax_number": "269-225-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E MILHAM AVE STE B",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490023096",
            "telephone_number": "269-312-1446",
            "fax_number": "269-225-6949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8931 Huron St",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802606806",
            "country_code": "US",
            "telephone_number": "303-853-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 E Egbert St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "CO",
            "postal_code": "806012484",
            "country_code": "US",
            "telephone_number": "303-853-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JOANNA",
        "middle_name": "A",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928581",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801113841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.