Active NPI
Amanda Alison Rivera, MSW, LISW, LCSW
- Clinical Social Worker
- Dublin, OH
National Provider Identifier
1750438008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2102545
- Practice address
- 7200 Cardinal PL W
Dublin, OH 43017-1094 - Phone
- (614) 553-3830
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2006033868 | MO | |
| Clinical Social Worker | 1041C0700X | I.2102545 | OH | Primary |
Addresses
Primary practice location
7200 Cardinal PL W
Dublin, OH 43017-1094
Mailing address
7200 Cardinal PL W
Dublin, OH 43017-1094
Phone (614) 553-3830
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 |
|---|---|---|---|
| 2006033868 | MO | MD | Clinical Social Worker |
| I.2102545 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1750438008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 CARDINAL PL W",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430171094",
"telephone_number": "614-553-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 CARDINAL PL W",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430171094",
"telephone_number": "614-553-3830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "AMANDA",
"middle_name": "ALISON",
"credential": "MSW, LISW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2006033868",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2102545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.