Active NPI
Liximag Rodriguez Rivera, LMSW
- Clinical Social Worker
- Bristol, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14338
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14338 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peaceful Mind Behavioral Health & Wellness, LLC | Clinical | Current | Accepting new patients |
| First Choice Health Centers, Inc. | Current | Accepting new patients | |
| Peaceful Mind Behavioral Health & Wellness, LLC | Clinical | Current | Accepting new patients |
| First Choice Health Centers, Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1215923131
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1215518733
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1891101473
-
- Mental Health Counselor
- Bristol, CT
- NPI 1255926358
Clinical
-
- Mental Health Counselor
- Bristol, CT
- NPI 1275321846
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.