Juan-David Rivera-del Valle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0826701 Issued in NY

Practice address

3989 50TH St Apt 3K
Woodside, NY 11377-3104

Phone

(917) 224-6789

NPI assigned

Oct 14, 2009

Last updated

Oct 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• John Rivera Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1184959884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3989 50TH ST APT 3K",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773104",
            "telephone_number": "917-224-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3989 50TH ST APT 3K",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773104",
            "telephone_number": "917-224-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-DEL VALLE",
        "first_name": "JUAN-DAVID",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-14",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0826701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "RIVERA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katheryn Rios Valdez
• Rite Aid of New York Inc (Rite Aid Pharmacy 04992)
• Rite Aid Pharmacy
• Josefa A Rivas, D.D.S.
• Juana Rivas
• Daniela Rivera
• Fatima Rizvi, PHARM.D.
• RM NP in Adult Health P C
• Margaret Robinette
• Ines Robles, LMSW

• Clinical Social Worker in Woodside, NY
• Providers in Woodside, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.