Elvis I Rivers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW - 0003201 Issued in FL

Practice address

4400 Bayou Blvd Ste 38
Pensacola, FL 32503-1911

Phone

(850) 471-0017

NPI assigned

Dec 1, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Florida Therapy Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Panama City, FL
  • NPI 1972548022
  NPD (past)

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1578831889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7144 FITZPATRICK RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325267534",
            "telephone_number": "850-207-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD STE 38",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031911",
            "telephone_number": "850-471-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "ELVIS",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW - 0003201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rivera
• Brandon Jarod Rivera, BHT
• Edwin Rivera, MD
• Fabian Rivera, OT
• Orlando Rivera II, MD
• Lauren Michelle Rivers, MSW
• Riviera Health Services, LLC (BrightStar Care of Pensacola)
• Rizzen Support Services
• Sean Michael Roark, M.D.
• Deborah U. Robards, ARNP

• Clinical Social Worker in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.