Felicia Jacqueline Rivera, L.I.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-08306 Issued in NM

Practice address

1103 National Avenue
Las Vegas, NM 87701-8770

Phone

(505) 426-6462

NPI assigned

Feb 6, 2012

Last updated

Jul 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Espanola, NM
  • NPI 1780689034
  Medicare reassignment NPD
• Mossy Pine Therapy LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NM
  • NPI 1568991453
  Authorized official Same address or phone
• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Wagon Mound, NM
  • NPI 1538324223
  NPD (past)
• Southwest Cares NV LLC

  • Clinical Psychologist
  • Santa Fe, NM
  • NPI 1053632851
  NPD (past)

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1285906248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2794",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877012794",
            "telephone_number": "505-426-6462",
            "fax_number": "505-212-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 NATIONAL AVENUE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877018770",
            "telephone_number": "505-426-6462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 8th St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NM",
            "postal_code": "877014219",
            "country_code": "US",
            "telephone_number": "505-425-6788",
            "fax_number": "505-425-5408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "FELICIA",
        "middle_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "L.I.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-07414",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I-08306",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rio Gallinas School for Ecology and the Arts
• Rio Grande Alcoholism Treatment Program
• Rio Grande Alcoholism Treatment Program, Inc.
• Alejandro Joseph Rivera
• Diego Rivera, BMS
• Robert M Bell MD PC
• Laura Robinson, CNP
• Donna Lee Rodarte, FNP-C
• Debra K Rodda, LMSW
• Cypress Rodriguez, CSW

• Clinical Social Worker in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.