Penelope G Rivers, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16577 Issued in MN

Practice address

1226 S Broadway St
New Ulm, MN 56073-3454

Phone

(507) 359-2080

Fax

(507) 359-2086

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Penelope Rivers Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mid-Columbia Center for Living

  • Community/Behavioral Health Agency
  • The Dalles, OR
  • NPI 1275954513
  NPD (past)
• Mid-Columbia Center for Living

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • The Dalles, OR
  • NPI 1699745794
  NPD (past)
• Mid-Columbia Center for Living

  • Community/Behavioral Health Agency
  • Hood River, OR
  • NPI 1831510155
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1225053200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N STATE ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560313619",
            "telephone_number": "507-235-6070",
            "fax_number": "507-235-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 S BROADWAY ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733454",
            "telephone_number": "507-359-2080",
            "fax_number": "507-359-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "PENELOPE",
        "middle_name": "G",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16577",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L3738",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3738",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "16577",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093815136",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENELOPE",
            "last_name": "RIVERS",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cheyenne Lee Riemann
• Jamie Lee Rieser, MS
• Liza Ann Rignell, MA, CCC-SLP
• River Bend Education District
• Riverbluff Health Care, Inc.
• Carl Adolph Rosendale, LICSW
• Alyssa Kristine Rubey, PHARMD
• Susan Evelyn Rudolph, M.D.
• Scott J Rysdahl, MD
• Sarah Sauter, PA

• Clinical Social Worker in New Ulm, MN
• Providers in New Ulm, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.