Individual provider Active NPI

Linda Michelle Rivas

  • School Social Worker
  • Miami Gardens, FL
National Provider Identifier
1184280372
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Practice address
16425 NW 25TH Ave
Miami Gardens, FL 33054-6581
Phone
(305) 623-3309
NPI assigned
May 14, 2019
Last updated
Jul 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
School Social Worker 1041S0200X NU Primary

Addresses

Primary practice location

16425 NW 25TH Ave
Miami Gardens, FL 33054-6581

Mailing address

8752 NW 106TH Ter
Hialeah Gardens, FL 33018-4603
Phone (786) 853-6419

Other practice location 1

1475 NW 14th Ave
Miami, FL 33125-1616
Phone (305) 547-4743

Other identifiers 1

IdentifierTypeStateIssuer
1041S0200XMedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1184280372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8752 NW 106TH TER",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184603",
            "telephone_number": "786-853-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16425 NW 25TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546581",
            "telephone_number": "305-623-3309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1475 NW 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331251616",
            "country_code": "US",
            "telephone_number": "305-547-4743",
            "fax_number": "305-777-6833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "LINDA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041S0200X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.