Jacquelyn Rivera, LCSW, PPSC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS27113 Issued in CA

Practice address

2000 E 4TH St Ste 201
Santa Ana, CA 92705-3907

Phone

(714) 547-0885

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Didi Hirsch Psychiatric Service

  • Community/Behavioral Health Agency
  • Culver City, CA
  • NPI 1730299959
  Medicare reassignment
• Didi Hirsch Psychiatric Service

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1194035238
  NPD (past)
• Didi Hirsch Psychiatric Service

  • Community/Behavioral Health Agency
  • Santa Ana, CA
  • NPI 1831408509
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1811028871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E 4TH ST STE 201",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053912",
            "telephone_number": "714-547-0885",
            "fax_number": "714-547-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E 4TH ST STE 201",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053907",
            "telephone_number": "714-547-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JACQUELYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, PPSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS27113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar Rivera, LCSW
• Edward Manuel Rivera
• Elizabeth Rivera
• Elizabeth Rivera
• Francisco Rivera
• Jaida Rivera
• July Rivera, LVN
• Leslie Jaquelyn Rivera, MS, RD
• Luis Eduardo Rivera, M.D.
• Natalie Estela Rivera

• Clinical Social Worker in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.