Active NPI
Maria Del Carmen Rivera, LCSW, MHED
- Clinical Social Worker
- Longview, TX
National Provider Identifier
1528080066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 071783
- Practice address
- Overton Brooks Vamc Longview Cboc
1005 North Eastman Rd
Longview, TX 75601 - Phone
- (903) 248-3467
- Fax
- (405) 456-7625
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 071783 | NY | Primary |
Addresses
Primary practice location
Overton Brooks Vamc Longview Cboc
1005 North Eastman Rd
Longview, TX 75601
Mailing address
1005 N Eastman Rd
Longview, TX 75601-4231
Phone (032) 483-4679
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9085 | Other | PR | ESTADO LIBRE ASOCIADO DE PUERTO RICO. DEPARTAMENTO DE ESTADO |
| 071783 | Other | NY | LCSW |
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 |
|---|---|---|---|
| 060254 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 071783 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1528080066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 N EASTMAN RD",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756014231",
"telephone_number": "032-483-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OVERTON BROOKS VAMC LONGVIEW CBOC",
"address_2": "1005 NORTH EASTMAN RD",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "75601",
"telephone_number": "903-248-3467",
"fax_number": "405-456-7625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MARIA",
"middle_name": "DEL CARMEN",
"credential": "LCSW, MHED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2023-11-09",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "071783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESTADO LIBRE ASOCIADO DE PUERTO RICO. DEPARTAMENTO DE ESTADO",
"identifier": "9085",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "071783",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.