Individual provider Active NPI

Tiffany De la Riva, LCSW

  • Clinical Social Worker
  • Orange, CA
National Provider Identifier
1407599947
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103481 Issued in CA
Practice address
800 N Eckhoff St
Orange, CA 92868-1008
Phone
(714) 510-2707
NPI assigned
Apr 13, 2022
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103481 CA Primary

Addresses

Primary practice location

800 N Eckhoff St
Orange, CA 92868-1008

Mailing address

1310 S Beach Blvd # 1049
La Habra, CA 90631-6374
Phone (714) 510-2707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103481CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany de la Riva Clinical CurrentSince Apr 30, 2023 Accepting new patients

Locations

800 N Eckhoff St
Orange, CA 92868
Phone (714) 704-6110

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1407599947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 S BEACH BLVD # 1049",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316374",
            "telephone_number": "714-510-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N ECKHOFF ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928681008",
            "telephone_number": "714-510-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA RIVA",
        "first_name": "TIFFANY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.