Individual provider Active NPI

Denise Rivera

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1801671102
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P019673 Issued in NC
Practice address
3405 W Wendover Ave Ste a
Greensboro, NC 27407-1525
Phone
(336) 294-1349
NPI assigned
Aug 28, 2023
Reactivated
Sep 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 P019673 NC Primary

Addresses

Primary practice location

3405 W Wendover Ave Ste a
Greensboro, NC 27407-1525

Mailing address

2408 S Holden Rd Apt D
Greensboro, NC 27407-5726
Phone (646) 623-6913

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

LicenseStateTypeSpecialty
P019673NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Journeys Counseling Center Inc. Clinical CurrentSince Sep 5, 2023 Accepting new patients

Locations

3405 W Wendover Ave
Ste A
Greensboro, NC 27407
Phone (336) 235-2427

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1801671102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 S HOLDEN RD APT D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274075726",
            "telephone_number": "646-623-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 W WENDOVER AVE STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071525",
            "telephone_number": "336-294-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-09-06",
        "certification_date": "2023-08-31",
        "deactivation_date": "2023-08-31",
        "reactivation_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.