Ana Mariella Rivera, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

17718

Practice address

241 Cleveland Ave S
Suite A7
Saint Paul, MN 55105-1208

Phone

(612) 396-3963

Fax

(612) 871-1058

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ana Rivera Corporation

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1750635611
  NPD (past) Authorized official
• Hamm Memorial Psychiatric Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1609876051
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1164649463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 16TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072305",
            "telephone_number": "312-396-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CLEVELAND AVE S",
            "address_2": "SUITE A7",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051208",
            "telephone_number": "612-396-3963",
            "fax_number": "612-871-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ANA",
        "middle_name": "MARIELLA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "17718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River City Mental Health Clinic, P.a.
• River Lotus Psychotherapy PLLC
• River Match LLC
• River'S Edge Academy
• Cristobal Liborio Rivera Munguia
• Lashonna Rivera
• Ruby Rivera
• Riverbend Family Dental
• Maureen Rivord, LICSW
• Jennifer L Rixen, DPT

• Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.