Samiyah Keyaunn Rivers, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018406

Practice address

1220 Skye LN
Cary, NC 27518-9326

Phone

(704) 475-3005

NPI assigned

Oct 20, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1225905904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "MORVEN",
            "state": "NC",
            "postal_code": "281190686",
            "telephone_number": "704-475-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SKYE LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189326",
            "telephone_number": "704-475-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "SAMIYAH",
        "middle_name": "KEYAUNN",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "P018406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rivera-Bermudez
• Alfredo Rivera Jr., LCMHC, NCC
• Angel Rivera, LMBT
• Luisa Rivera
• Ayana Rivers-Calhoun
• Richard Youshin Ro, MD
• Kacie L Robbins, DPT
• Maria Carolina Robbins, LCSW
• Nicole Robbins
• Robert a. Moran Jr., DDS, Ms, Richard F. Brooks DDS, PA

• Clinical Social Worker in Cary, NC
• Providers in Cary, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.