Active NPI
Nancy Rivera, LCSW
- Clinical Social Worker
- Pico Rivera, CA
National Provider Identifier
1609244912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 119384
- Practice address
- 9033 Washington Blvd
Pico Rivera, CA 90660-3839 - Phone
- (562) 942-9625
- NPI assigned
- Sep 3, 2015
- 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 | 119384 | CA | Primary |
Addresses
Primary practice location
9033 Washington Blvd
Pico Rivera, CA 90660-3839
Mailing address
7119 E Gage Ave Apt 18
Commerce, CA 90040-3843
Phone (323) 715-9839
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 |
|---|---|---|---|
| 119384 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chcada/Enhanced Specialized Foster Care Mental HLTH Services | Past | Accepting new patients | |
| California Hispanic Commission a & D Abuse | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Pico Rivera, CA
- NPI 1902055163
-
- Community/Behavioral Health Agency
- Pico Rivera, CA
- NPI 1588860910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712361600000",
"number": "1609244912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7119 E GAGE AVE APT 18",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900403843",
"telephone_number": "323-715-9839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9033 WASHINGTON BLVD",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906603839",
"telephone_number": "562-942-9625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "NANCY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-03",
"last_updated": "2024-04-06",
"certification_date": "2024-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "119384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pico Rivera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.