Individual provider Active NPI

Chelsey Lynn Rivera, LCSW

  • Clinical Social Worker
  • Ahoskie, NC
National Provider Identifier
1467189522
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017228 Issued in NC
Practice address
144 Community College Rd
Ahoskie, NC 27910-8047
Phone
(866) 998-2597
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 C017228 NC Primary

Addresses

Primary practice location

144 Community College Rd
Ahoskie, NC 27910-8047

Mailing address

323 Cedar Island TRL
Holly Ridge, NC 28445-7512
Phone (518) 791-8871

Other practice location 1

192 Village Dr
Jacksonville, NC 28546-7299
Phone (910) 577-1400

Other practice location 2

1540 E Arlington Blvd
Greenville, NC 27858-5870
Phone (280) 625-2364

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
C017228NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1467189522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 CEDAR ISLAND TRL",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284457512",
            "telephone_number": "518-791-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 COMMUNITY COLLEGE RD",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108047",
            "telephone_number": "866-998-2597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "192 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285467299",
            "country_code": "US",
            "telephone_number": "910-577-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 E Arlington Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278585870",
            "country_code": "US",
            "telephone_number": "280-625-2364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "CHELSEY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.