Individual provider Active NPI

Anthony Stuart Rivera

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1114572443
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12723-C Issued in NV
Practice address
6600 W Charleston Blvd Ste 111
Las Vegas, NV 89146-1067
Phone
(702) 763-7443
NPI assigned
Aug 4, 2019
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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 12723-C NV Primary
Rehabilitation Counselor 225C00000X NU

Addresses

Primary practice location

6600 W Charleston Blvd Ste 111
Las Vegas, NV 89146-1067

Mailing address

6505 Hyde Ave
Las Vegas, NV 89107-2408
Phone (725) 267-7494

Other practice location 1

6505 Hyde Ave
Las Vegas, NV 89107-2408
Phone (702) 788-6009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20260109002355 NV Practitioner - Clinical Social Worker 1759867617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Nevada School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2225 E Flamingo Rd
Suite 100
Las Vegas, NV 89119-5126

6505 Hyde Ave
Las Vegas, NV 89107-2408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IC-2301NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Touch Behavioral Care Center Prof Corp Single Specialty CurrentSince Oct 31, 2025 Accepting new patients
Legacy Counseling and Workforce Connections Past Accepting new patients

Locations

2225 E Flamingo Rd
Ste 100
Las Vegas, NV 89119
Phone (702) 493-8733

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, 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": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1114572443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 HYDE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072408",
            "telephone_number": "725-267-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 W CHARLESTON BLVD STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461067",
            "telephone_number": "702-763-7443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6505 Hyde Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891072408",
            "country_code": "US",
            "telephone_number": "702-788-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ANTHONY",
        "middle_name": "STUART",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-04",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "12723-C",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.