Kimberly C Rivera

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05624400 Issued in NJ

Practice address

14 Forest Ave
Caldwell, NJ 07006-5208

Phone

(973) 307-0182

NPI assigned

Dec 11, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.rivera.1@24284.direct.athenahealth.com

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.

• Kimberly Rivera LCSW, LLC

  • Clinical Social Worker
  • Caldwell, NJ
  • NPI 1962913657
  NPD Authorized official
• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  NPD
• Inpathy Behavioral Healthcare Group LLC

  • Psychiatry Physician
  • Marlton, NJ
  • NPI 1285099325
  NPD (past)

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356716641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 SUNNYSIDE RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522031",
            "telephone_number": "973-698-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FOREST AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065208",
            "telephone_number": "973-307-0182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Sunnyside Rd",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070522031",
            "country_code": "US",
            "telephone_number": "973-698-7760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05624400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayan Rafee, DDS
• Marcus Regino, LAC
• Keara Brady Reilly, LCSW
• Lynn Wendy Remington, M.A./CCC/SLP
• Brianna Reyes, LAC
• Kristen Rolph, BCBA
• Daniel Thomas Rowen, LPC
• Ruby Maslowski
• Toni Russo-Barrett, LCSW
• Nicole Safonte-Strumolo, PH.D.

• Clinical Social Worker in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.