Individual provider Active NPI

Jennifer Marisela Rivera

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1336721067
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
128025 Issued in NY
Practice address
744 Gates Ave Apt 4a
Brooklyn, NY 11221-7227
Phone
(929) 430-1703
NPI assigned
Apr 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 128025 NY Primary

Addresses

Primary practice location

744 Gates Ave Apt 4a
Brooklyn, NY 11221-7227

Mailing address

744 Gates Ave Apt 4a
Brooklyn, NY 11221-7227
Phone (929) 430-1703

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.rivera@yai.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare, Inc. PastSince Apr 25, 2021 Accepting new patients
Premier Healthcare, Inc. PastSince Apr 25, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1336721067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 GATES AVE APT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112217227",
            "telephone_number": "929-430-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 GATES AVE APT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112217227",
            "telephone_number": "929-430-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JENNIFER",
        "middle_name": "MARISELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "128025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.rivera@yai.org",
            "affiliation": "N",
            "endpointDescription": "Agency email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "175 Remsen St Fl 4",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112014300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.