Individual provider Active NPI

Rochelle Rivera, LCSW

  • Clinical Social Worker
  • Manchester, CT
National Provider Identifier
1528567807
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9970 Issued in CT
Practice address
71 Haynes St
Manchester, CT 06040
Phone
(860) 646-1222
Fax
(860) 647-6831
NPI assigned
Feb 1, 2018
Last updated
May 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2018

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 9970 CT Primary

Addresses

Primary practice location

71 Haynes St
Manchester, CT 06040

Mailing address

29 Elizabeth St
New Britain, CT 06053-3205
Phone (860) 983-5860

Other practice location 1

55 Town Line Rd Ste 101
Wethersfield, CT 06109-4317
Phone (860) 757-3702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20200303000742 CT Practitioner - Clinical Social Worker 4486081593 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9970CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Mar 23, 2020 Accepting new patients
Safe Passages LLC Current Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients
Middlesex Hospital Clinical Current Accepting new patients
Middlesex Hospital CurrentSince Mar 23, 2020 Accepting new patients
Comprehensive Psychological & Assessment Services LLC Clinical PastSince Jul 26, 2012 Accepting new patients

Locations

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

33 Pleasant St
Middletown, CT 06457
Phone (860) 358-8801

Organizations & group practices 6

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": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1528567807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ELIZABETH ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060533205",
            "telephone_number": "860-983-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-646-1222",
            "fax_number": "860-647-6831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Town Line Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wethersfield",
            "state": "CT",
            "postal_code": "061094317",
            "country_code": "US",
            "telephone_number": "860-757-3702",
            "fax_number": "860-757-3725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ROCHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.