Individual provider Active NPI

Deborah Lynn Rivera, LCSW

  • Clinical Social Worker
  • La Verne, CA
National Provider Identifier
1386807600
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS18087 Issued in CA
Practice address
2428 Moss Cir
La Verne, CA 91750-5040
Phone
(909) 620-8088
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14638 CT
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-55355 MT
Clinical Social Worker 1041C0700X LCS18087 CA Primary

Addresses

Primary practice location

2428 Moss Cir
La Verne, CA 91750-5040

Mailing address

2428 Moss Cir
La Verne, CA 91750-5040

Other names 1

  • Deborah Lynn Lara Rivera Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110000919 CA Practitioner - Clinical Social Worker 1850314386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cyti Health PCGroup PAC ID 4587012950, 34 clinicians
Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

11801 Pierce St
Riverside, CA 92505-4408
Phone (866) 478-3978

4633 Old Ironsides Dr
Suite 304
Santa Clara, CA 95054-1846
Phone (866) 280-0260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS18087CAMDClinical Social Worker
BBH-LCSW-LIC-55355MTMDClinical Social Worker
18087CAMDAcupuncturist
14638CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca Clinical CurrentSince Apr 1, 2025 Accepting new patients
Optum Behavioral Care of California, P.C. Current Accepting new patients
Cyti Health PC CurrentSince Nov 7, 2024 Accepting new patients
Optum Behavioral Care of California, P.C. Clinical CurrentSince Sep 15, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

2175 Park Pl
El Segundo, CA 90245
Phone (310) 345-4200

2555 E Colorado Blvd
Pasadena, CA 91107
Phone (909) 989-4055

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Interoperability endpoints

  • Direct secure messaging: deborahrivera@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1386807600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 MOSS CIR",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 MOSS CIR",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505040",
            "telephone_number": "909-620-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "14638",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-55355",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "LARA RIVERA",
            "middle_name": "LYNN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in La Verne, CA

Sources for this page

Verify at the official NPI Registry.