Individual provider Active NPI

Laura Teresa Rivela, LCSW RBCD

  • Social Worker
  • Southampton, NY
National Provider Identifier
1801924824
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R0577831 Issued in NY
Practice address
53 Hill St Ste 150
Southampton, NY 11968-5316
Phone
(516) 848-0618
Fax
(631) 997-3632
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R0577831 NY Primary

Addresses

Primary practice location

53 Hill St Ste 150
Southampton, NY 11968-5316

Mailing address

5 Verbena Drive
Commack, NY 11725
Phone (631) 543-7604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050310000012 NY Practitioner - Clinical Social Worker 0749234979 Practice locations: Riverhead, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

619 Roanoke Ave
Riverhead, NY 11901-2727
Phone (631) 591-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0577831NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christian N. Caputo, LCSW, P.C. Past Accepting new patients

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1801924824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 VERBENA DRIVE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-543-7604",
            "fax_number": "631-543-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 HILL ST STE 150",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685316",
            "telephone_number": "516-848-0618",
            "fax_number": "631-997-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVELA",
        "first_name": "LAURA",
        "middle_name": "TERESA",
        "name_prefix": "Miss",
        "credential": "LCSW RBCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0577831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

Verify at the official NPI Registry.