Cecilia Yasmine Rivera, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.024239 Issued in IL

Practice address

822 Hillgrove Ave Ste 2
Western Springs, IL 60558-1474

Phone

(872) 254-3804

NPI assigned

Feb 15, 2022

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Canopy Counseling Center PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Western Springs, IL
  • NPI 1174302731
  NPD Authorized official
• Chicagoland Counseling PLLC

  • Clinical Social Worker
  • Aurora, IL
  • NPI 1265215925
  NPD (past)

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1235884560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 W 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382718",
            "telephone_number": "815-557-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 HILLGROVE AVE STE 2",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581474",
            "telephone_number": "872-254-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "CECILIA",
        "middle_name": "YASMINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherin Rehn, MS RDN LDN
• Resilient Solutions ABA
• James Robert Ridlen, D.D.S.
• Tarina Riley
• Calvin Rivera
• Rolando Javier Rocha
• Mariela Rodriguez
• Margarita Roman
• Ariana Isabel Romero
• Domenico Romozzi

• Clinical Social Worker in Western Springs, IL
• Providers in Western Springs, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.