Individual provider Active NPI

Erika Lynn Rivera, LMSW

  • Social Worker
  • Nampa, ID
National Provider Identifier
1104437995
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-39792 Issued in ID
Practice address
1224 1St St S Ste 307
Nampa, ID 83651-3963
Phone
(208) 322-5859
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-39792 ID Primary

Addresses

Primary practice location

1224 1St St S Ste 307
Nampa, ID 83651-3963

Mailing address

1224 1St St S
Nampa, ID 83651-3900
Phone (208) 322-5859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20240701001418 ID Practitioner - Clinical Social Worker 1759825870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Resources LLCGroup PAC ID 1759793490, 2 clinicians

Practice addresses (Care Compare)

923 Grant St
Caldwell, ID 83605-4137
Phone 20858533751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-39792IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Resources LLC CurrentSince Jul 18, 2024 Accepting new patients

Locations

923 Grant St
Caldwell, ID 83605
Phone (208) 454-9000

123 N Yale St
Nampa, ID 83651
Phone (208) 465-5433

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.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1104437995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 1ST ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513900",
            "telephone_number": "208-322-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 1ST ST S STE 307",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513963",
            "telephone_number": "208-322-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ERIKA",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-39792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.