Active NPI
Kathalina Vanessa Rivas
- Social Worker
- Brooklyn, NY
National Provider Identifier
1336849488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 118678-01
- Practice address
- 255 15TH St
Brooklyn, NY 11215-4988 - Phone
- (718) 788-5101
- NPI assigned
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 118678-01 | NY | Primary |
Addresses
Primary practice location
255 15TH St
Brooklyn, NY 11215-4988
Mailing address
2301 84TH St Apt 2F
Brooklyn, NY 11214-3407
Phone (347) 604-4553
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118678-01 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Slope Center for Mental Health, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1851382188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1336849488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 84TH ST APT 2F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112143407",
"telephone_number": "347-604-4553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 15TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154988",
"telephone_number": "718-788-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "KATHALINA",
"middle_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-07",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "118678-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 19, 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.