Individual provider Active NPI

Rebeca Rivera

  • Clinical Social Worker
  • West Palm Beach, FL
National Provider Identifier
1578986436
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11043 Issued in FL
Practice address
400 S Australian Ave Ste 422
West Palm Beach, FL 33401-5004
Phone
(561) 331-2472
NPI assigned
Jan 29, 2014
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 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 SW11043 FL Primary

Addresses

Primary practice location

400 S Australian Ave Ste 422
West Palm Beach, FL 33401-5004

Mailing address

17680 93Rd Rd N
Loxahatchee, FL 33470-2697
Phone (917) 538-3385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140604002281 FL Practitioner - Clinical Social Worker 7719101138 Reassigns benefits to 1 organization
Practice locations: North Palm Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

North Palm Beach, FL 33408
Phone (561) 331-2472

17680 93Rd Rd N
Loxahatchee, FL 33470-2697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Elssy N. Oms MD PA CurrentSince Mar 17, 2024 Accepting new patients
Soulcialworker, LLC Clinical CurrentSince Mar 17, 2024 Accepting new patients
Kim Jeluso LCSW Clinical PastSince Apr 24, 2022 Accepting new patients
Mindpath Health Florida, PLLC Clinical Past Accepting new patients

Locations

400 S Australian Ave
Ste 422
West Palm Beach, FL 33401
Phone (561) 295-7070

Organizations & group practices 5

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": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1578986436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17680 93RD RD N",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334702697",
            "telephone_number": "917-538-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S AUSTRALIAN AVE STE 422",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015004",
            "telephone_number": "561-331-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "REBECA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.