Active NPI
Liselotte Carr Rivera, LMSW
- Social Worker
- Bayport, NY
National Provider Identifier
1477484947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 074846-01
- Practice address
- 466 Bayport Ave
Bayport, NY 11705-1406 - Phone
- (917) 754-2363
- NPI assigned
- May 26, 2026
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 074846-01 | NY | Primary |
Addresses
Primary practice location
466 Bayport Ave
Bayport, NY 11705-1406
Mailing address
466 Bayport Ave
Bayport, NY 11705-1406
Phone (917) 754-2363
Other names 1
- Lilo Carr Rivera
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
| License | State | Type | Specialty |
|---|---|---|---|
| 074846-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1477484947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 BAYPORT AVE",
"city": "BAYPORT",
"state": "NY",
"postal_code": "117051406",
"telephone_number": "917-754-2363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 BAYPORT AVE",
"city": "BAYPORT",
"state": "NY",
"postal_code": "117051406",
"telephone_number": "917-754-2363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "LISELOTTE",
"middle_name": "CARR",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-26",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "074846-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LILO",
"last_name": "RIVERA",
"middle_name": "CARR",
"credential": "LMSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Bayport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.