Individual provider Active NPI

Adavelyn Rivera, LCSW

  • Clinical Social Worker
  • Nyack, NY
National Provider Identifier
1508984030
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077106 Issued in NY
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

Updated by the provider on Apr 1, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111105000032 NY Practitioner - Clinical Social Worker 5395918460 Reassigns benefits to 1 organization

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
The Mental Health Association of Westchester County IncGroup PAC ID 0244121366, 24 clinicians

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

OrganizationSpecialtyStatusNew patients
The Mental Health Association of Westchester County - Social Care Network PastSince Aug 31, 2019 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.

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

Verify at the official NPI Registry.