Elizabeth Rivera

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117120 Issued in CA

Practice address

1101 W Macarthur Blvd Unit 251
Santa Ana, CA 92707-4540

Phone

(714) 910-0509

NPI assigned

Jul 24, 2019

Last updated

Dec 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• South Coast Children's Society, Inc

  dba Hope Healing Connection

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mission Viejo, CA
  • NPI 1083503577
  NPD (past)
• South Coast Children's Society, Inc

  • Community/Behavioral Health Agency
  • Fountain Valley, CA
  • NPI 1487780219
  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1346894706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 PURDY ST",
            "city": "MIDWAY CITY",
            "state": "CA",
            "postal_code": "926551141",
            "telephone_number": "714-910-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W MACARTHUR BLVD UNIT 251",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927074540",
            "telephone_number": "714-910-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95277",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Alexis Rivera, BEHAVIOR TECHNICIAN
• Daniel Rivera, RN
• Day Rivera
• Edgar Rivera, LCSW
• Edward Manuel Rivera
• Elizabeth Rivera
• Francisco Rivera
• Jacquelyn Rivera, LCSW, PPSC
• Jaida Rivera
• July Rivera, LVN

• Clinical Social Worker in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.