Angel M. Rivera, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 4114 Issued in FL

Practice address

922 N Krome Ave
Homestead, FL 33030-4409

Phone

(786) 382-3507

Fax

(786) 504-8070

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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.

• Neuropsychology & Counseling Services PA

  • Psychologist
  • Tavares, FL
  • NPI 1588860670
  NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1831128347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304409",
            "telephone_number": "786-504-8070",
            "fax_number": "786-504-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304409",
            "telephone_number": "786-382-3507",
            "fax_number": "786-504-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ANGEL",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 4114",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW4114",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "101YM0800X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011062900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerstin Rivera de Santiago
• Liz Nanette Rivera Hernandez
• Kaisy Joan Rivera Rosa
• Yasiely Rivera Santana
• Anakaren Rivera Soto
• Cristina Tiffany Rivera, OTR/L
• Ginna P Rivera
• Irving Rivera
• Janet Rivera, PT, BA,MA
• Jessica Rivera

• Clinical Social Worker in Homestead, FL
• Providers in Homestead, 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 Sep 6, 2016; 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.