Active NPI
Adavelyn Rivera, LCSW
- Clinical Social Worker
- Nyack, NY
National Provider Identifier
1508984030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 077106
- Practice address
- 311 N Midland Ave Ste 3
Nyack, NY 10960-1638 - Phone
- (914) 345-5900
- NPI assigned
- Mar 26, 2007
- 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 | 077106 | NY | Primary |
Addresses
Primary practice location
311 N Midland Ave Ste 3
Nyack, NY 10960-1638
Mailing address
580 White Plains Rd Ste 510
Tarrytown, NY 10591-5152
Phone (914) 345-5900
Other practice location 1
85 W Burnside Ave
Bronx, NY 10453-4015
Phone (718) 716-4400
Other practice location 2
140 Route 303
Valley Cottage, NY 10989-5906
Phone (914) 345-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
311 N Midland Ave
Suite 3
Nyack, NY 10960-1638
Phone (914) 345-5900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mental Health Association of Westchester County - Social Care Network | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- White Plains, NY
- NPI 1942306873
-
- Case Manager/Care Coordinator
- Tarrytown, NY
- NPI 1760320659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1508984030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 WHITE PLAINS RD STE 510",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915152",
"telephone_number": "914-345-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N MIDLAND AVE STE 3",
"city": "NYACK",
"state": "NY",
"postal_code": "109601638",
"telephone_number": "914-345-5900"
}
],
"practiceLocations": [
{
"address_1": "85 W Burnside Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104534015",
"country_code": "US",
"telephone_number": "718-716-4400",
"fax_number": "718-229-7471",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Route 303",
"address_purpose": "LOCATION",
"city": "Valley Cottage",
"state": "NY",
"postal_code": "109895906",
"country_code": "US",
"telephone_number": "914-345-5900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "ADAVELYN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "077106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.