Individual provider Active NPI

Denise Mary Rivet, LCSW

  • Clinical Social Worker
  • Indialantic, FL
National Provider Identifier
1164426557
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4942 Issued in FL
Practice address
105 S Riverside Dr
Ste 100
Indialantic, FL 32903-4321
Phone
(321) 733-2299
Fax
(321) 733-7515
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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 SW4942 FL Primary

Addresses

Primary practice location

105 S Riverside Dr
Ste 100
Indialantic, FL 32903-4321

Mailing address

105 S Riverside Dr
Ste 100
Indialantic, FL 32903-4321
Phone (321) 733-2299

Other names 1

  • Denise Guzman Rivet-Glamuzina Former name

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
Becky Durham-Flint, P.a. Past Accepting new patients

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1164426557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S RIVERSIDE DR",
            "address_2": "STE 100",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034321",
            "telephone_number": "321-733-2299",
            "fax_number": "321-733-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S RIVERSIDE DR",
            "address_2": "STE 100",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034321",
            "telephone_number": "321-733-2299",
            "fax_number": "321-733-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVET",
        "first_name": "DENISE",
        "middle_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "RIVET-GLAMUZINA",
            "middle_name": "GUZMAN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indialantic, FL

Sources for this page

Verify at the official NPI Registry.