Individual provider Active NPI

Lauren Gavitt Rivera, LCSW

  • Clinical Social Worker
  • Safety Harbor, FL
National Provider Identifier
1124463294
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16801 Issued in FL
Practice address
306 Hamilton Ave
Safety Harbor, FL 34695-3213
Phone
(727) 712-0039
NPI assigned
May 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 16801 FL Primary

Addresses

Primary practice location

306 Hamilton Ave
Safety Harbor, FL 34695-3213

Mailing address

3919 Tampa Rd
Oldsmar, FL 34677-3114
Phone (352) 573-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200930002359 FL Practitioner - Clinical Social Worker 4385063924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

126 3Rd Ave N
Suite 104
Safety Harbor, FL 34695-3658
Phone (727) 712-0039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16801FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health & Psychiatrist Consultants LLC CurrentSince Sep 28, 2020 Accepting new patients
Practical Sage, Clinical Social Work Services Clinical CurrentSince May 3, 2022 Accepting new patients
Advanced Counseling Services, Professional Association PastSince Feb 4, 2020 Accepting new patients
Advanced Counseling Services, PA Clinical Past Accepting new patients

Locations

3919 Tampa Rd
Oldsmar, FL 34677
Phone (727) 733-6111

126 3rd Ave N
Ste 104
Safety Harbor, FL 34695
Phone (727) 712-0039

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1124463294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 TAMPA RD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773114",
            "telephone_number": "352-573-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 HAMILTON AVE",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953213",
            "telephone_number": "727-712-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVITT RIVERA",
        "first_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.