Delissa Jene Rivers, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ISW11587 Issued in FL

Practice address

3004 N 46TH St
Tampa, FL 33605-2427

Phone

(813) 363-0214

NPI assigned

Jan 15, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1366031031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 N 46TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336052427",
            "telephone_number": "813-444-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 N 46TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336052427",
            "telephone_number": "813-363-0214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5118 N 56th St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336105440",
            "country_code": "US",
            "telephone_number": "813-363-0214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "DELISSA",
        "middle_name": "JENE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW11587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tablet",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3004 N 46th St",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336052427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fredy Riveron Valle, RBT
• Alejandra Mayra Riveron, MD
• Anthony Riveron
• Diego Alexander Riveros
• Amy Rivers, APRN
• Geidy Rivers, APRN
• Jessi Lyn Rivers, RN, BSN
• Nilan Rivers
• Riverside Recovery of Tampa, LLC
• Riverside Spine & Pain Physicians, LLC

• Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.