Danette Rivera
Individual provider Active NPI Clinical Social Worker · Spangle, WA
NPI 1407255144 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1407255144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SCS61001445 (WA)
- Practice address
- 3025 E Spangle Waverly Rd
Spangle, WA 99031-9703 - Phone
- (423) 596-2917
- NPI assigned
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SCS61001445 | WA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | SCS61001445 | WA | Yes |
Addresses
Primary practice location
3025 E Spangle Waverly Rd
Spangle, WA 99031-9703
Mailing address
3025 E Spangle Waverly Rd
Spangle, WA 99031-9703
Other providers in Spangle, WA
- Benjawan Moolkeo Irwin
- Gloria Ann Kelley
- Liberty School District
- Marvin R. Gee, D.D.S., P.S.
- Dakota Purvis
- Karrie Lea Swan
All providers in Spangle, WA · Clinical Social Worker in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.