Individual provider Active NPI

Renee Veronica Rivera, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1184198723
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00991282 Issued in CO
Practice address
4495 Hale Pkwy Ste 120
Denver, CO 80220-6203
Phone
(303) 523-3698
NPI assigned
Jan 16, 2019
Last updated
Jan 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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 CSW.00991282 CO Primary

Addresses

Primary practice location

4495 Hale Pkwy Ste 120
Denver, CO 80220-6203

Mailing address

1044 Milwaukee St
Denver, CO 80206-3338
Phone (303) 523-3698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20190701001091 CO Practitioner - Clinical Social Worker 8224362934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4495 Hale Pkwy
Suite 212
Denver, CO 80220-6206
Phone (303) 523-3698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Clinical Services Clinical CurrentSince Oct 23, 2020 Accepting new patients
Tony L Robucci M D a Professional LLC PastSince Mar 16, 2011 Accepting new patients

Locations

4495 Hale Pkwy
Ste 114
Denver, CO 80220
Phone (303) 523-3698

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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1184198723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 MILWAUKEE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802063338",
            "telephone_number": "303-523-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 HALE PKWY STE 120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802206203",
            "telephone_number": "303-523-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "RENEE",
        "middle_name": "VERONICA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00991282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.