Active NPI
Mayra Ivette Rivas, LCSW
- Clinical Social Worker
- Montebello, CA
National Provider Identifier
1528420163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 114182
- Practice address
- 2425 W Whittier Blvd
Montebello, CA 90640-3040 - Phone
- (323) 432-4898
- Fax
- (323) 238-1941
- NPI assigned
- Mar 23, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 84462 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 114182 | CA | Primary |
Addresses
Primary practice location
2425 W Whittier Blvd
Montebello, CA 90640-3040
Mailing address
PO Box 1203
Montebello, CA 90640-1203
Phone (323) 432-4898
Other names 1
- Mayra Rivas Gutierrez
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 |
|---|---|---|---|
| 114182 | CA | MD | Clinical Social Worker |
| 84462 | CA | MD | Public Health or Welfare Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Service for Groups, Inc. | Past | Accepting new patients |
Interoperability endpoints
- mayra.rivas.p1@direct.scfhc.nextgenshare.com
Organizations & group practices 1
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.
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- NPI 1982735932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1528420163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1203",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906401203",
"telephone_number": "323-432-4898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 W WHITTIER BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403040",
"telephone_number": "323-432-4898",
"fax_number": "323-238-1941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "MAYRA",
"middle_name": "IVETTE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-23",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "84462",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "114182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAYRA",
"last_name": "GUTIERREZ",
"middle_name": "RIVAS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.