Individual provider Active NPI

Liximag Rodriguez Rivera, LMSW

  • Clinical Social Worker
  • Bristol, CT
National Provider Identifier
1467216572
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14338 Issued in CT
Practice address
123 Middle St
Bristol, CT 06010-7404
Phone
(860) 281-2280
NPI assigned
Feb 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 14338 CT Primary

Addresses

Primary practice location

123 Middle St
Bristol, CT 06010-7404

Mailing address

10 McKernan Dr
Plainville, CT 06062-1920
Phone (860) 993-6165

Other practice location 1

550 W B St Fl 4
San Diego, CA 92101-3537
Phone (860) 993-6165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20241220003097 CT Practitioner - Clinical Social Worker 9234666785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Health Centers IncGroup PAC ID 2769417609, 39 clinicians

Practice addresses (Care Compare)

110 Connecticut Blvd
East Hartford, CT 06108-3013
Phone 8605281359263

265 Ellington Rd
East Hartford, CT 06108-1176
Phone (860) 610-6191

809 Main St
East Hartford, CT 06108-3142
Phone (860) 610-6131

92 Connecticut Blvd
East Hartford, CT 06108-3013
Phone 8605281359129

94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone (860) 528-1359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14338CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Mind Behavioral Health & Wellness, LLC Clinical CurrentSince Apr 27, 2025 Accepting new patients
First Choice Health Centers, Inc. CurrentSince Oct 18, 2024 Accepting new patients
Peaceful Mind Behavioral Health & Wellness, LLC Clinical CurrentSince Aug 25, 2024 Accepting new patients
First Choice Health Centers, Inc. CurrentSince Oct 18, 2024 Accepting new patients
First Choice Health Centers, Inc. Current Accepting new patients

Locations

123 Middle St
Bristol, CT 06010
Phone (860) 281-2280

809 Main St
East Hartford, CT 06108
Phone (203) 788-1479

94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191

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": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1467216572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MCKERNAN DR",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621920",
            "telephone_number": "860-993-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MIDDLE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060107404",
            "telephone_number": "860-281-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 W B St Fl 4",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921013537",
            "country_code": "US",
            "telephone_number": "860-993-6165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ RIVERA",
        "first_name": "LIXIMAG",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "14338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.