Individual provider Active NPI

Cassandra Rivera, LCSW

  • Clinical Social Worker
  • Milford, CT
National Provider Identifier
1518566652
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
57 Plains Rd Ste 33
Milford, CT 06461-2529
Phone
(032) 901-7172
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 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 Primary

Addresses

Primary practice location

57 Plains Rd Ste 33
Milford, CT 06461-2529

Mailing address

57 Plains Rd Ste 33
Milford, CT 06461-2529
Phone (203) 290-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: No
  • 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
I20240506000431 CT Practitioner - Clinical Social Worker 8820438005 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Private Practice of Adrian Rodriguez Targa LCSW Clinical CurrentSince Mar 20, 2024 Accepting new patients
State of Connecticut CurrentSince Jul 1, 2024 Accepting new patients
State of Connecticut CurrentSince Jul 1, 2024 Accepting new patients
Apex Community Care, Inc PastSince Nov 30, 2020 Accepting new patients

Locations

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

57 Plains Rd
Ste 33
Milford, CT 06461
Phone (203) 290-1717

55 W Main St
Ste 410
Waterbury, CT 06702
Phone (203) 805-6408

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1518566652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 PLAINS RD STE 33",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064612529",
            "telephone_number": "203-290-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PLAINS RD STE 33",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064612529",
            "telephone_number": "032-901-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "CASSANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.