Luris Coll Rivera, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

6 W Park Ave Unit 1363
Lake Wales, FL 33859-6257

Phone

(313) 583-9144

NPI assigned

May 12, 2011

Sex

Female

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

Practice roles

Locations

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.

• Mental Oasis LLC

  • Case Management Agency
  • Lake Wales, FL
  • NPI 1801680947
  NPD

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1659663326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1363",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338591363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 W PARK AVE UNIT 1363",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338596257",
            "telephone_number": "313-583-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLL RIVERA",
        "first_name": "LURIS",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Lake Wales
• Clear Choice Dermatology
• Christine M Clifton, PHARMD
• CMB-1 Retailer LLC
• Cogent Healthcare of Pensacola LLC
• Barbara Louise Collette, PHARMD
• Comfortable Care Dental Health Professionals (Lake Wales Dentistry)
• Comforting, Loving & Helping Hands
• Comprehensive Hospitalists of Florida, LLC
• Colleen Coombs, MS, LAT, ATC

• Clinical Social Worker in Lake Wales, FL
• Providers in Lake Wales, 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 Mar 12, 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.

Verify at the official NPI Registry.