Tammy J Rivera, LMSW
Individual provider Active NPI Clinical Social Worker · Bushkill, PA
NPI 1174772867 · NPPES record last updated Sep 17, 2008
Key facts
- NPI
- 1174772867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 060002 (NY)
- Practice address
- 273 Ranchlands
Bushkill, PA 18324-8702 - Phone
- (570) 828-2388
- Fax
- (570) 828-2388
- NPI assigned
- Sep 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060002 | NY | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 060002 | NY | Yes |
Addresses
Primary practice location
273 Ranchlands
Bushkill, PA 18324-8702
Mailing address
273 Ranchlands
Bushkill, PA 18324-8702
Phone (570) 828-2388
Other providers in Bushkill, PA
- John William Miller
- Johnney Mae Morris
- Anthony Neak
- Kristy Nimz
- Over the Edge, Counseling and Psychotherapy, LLC
- Donna Roach
- Christopher Rossi
- Gillious Soler
- Tanya Michelle Taylor
- Chelsea Thompson
All providers in Bushkill, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.