Active NPI
Victoria Rivera
- Clinical Social Worker
- Melbourne, FL
National Provider Identifier
1265348692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW20881
- Practice address
- 1515 Sarno Rd BLDG B
Melbourne, FL 32935-5272 - Phone
- (615) 324-5768
- Fax
- (615) 932-8776
- NPI assigned
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW20881 | FL | Primary |
Addresses
Primary practice location
1515 Sarno Rd BLDG B
Melbourne, FL 32935-5272
Mailing address
7960 County Road 208
St Augustine, FL 32092-0381
Phone (904) 687-9344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1265348692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7960 COUNTY ROAD 208",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320920381",
"telephone_number": "904-687-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 SARNO RD BLDG B",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329355272",
"telephone_number": "615-324-5768",
"fax_number": "615-932-8776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW20881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.