Active NPI
Teresa Rivera, LCSW 77388
- Clinical Social Worker
- Canoga Park, CA
National Provider Identifier
1831484674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW77388
- Practice address
- 6800 Owensmouth Ave
Canoga Park, CA 91303-3159 - Phone
- (213) 332-4589
- NPI assigned
- Jun 9, 2011
- 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 | 77388 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW77388 | CA | Primary |
Addresses
Primary practice location
6800 Owensmouth Ave
Canoga Park, CA 91303-3159
Mailing address
6800 Owensmouth Ave
Canoga Park, CA 91303-3159
Phone (213) 332-4589
Other practice location 1
1224 Vine St
Los Angeles, CA 90038-1612
Phone (323) 769-6100
Other practice location 2
222 S Hill St Fl 6
Los Angeles, CA 90012-3523
Phone (213) 332-4589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77388 | CA | MD | Clinical Social Worker |
| LCSW77388 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1831484674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 OWENSMOUTH AVE",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913033159",
"telephone_number": "213-332-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 OWENSMOUTH AVE",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913033159",
"telephone_number": "213-332-4589"
}
],
"practiceLocations": [
{
"address_1": "1224 Vine St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900381612",
"country_code": "US",
"telephone_number": "323-769-6100",
"fax_number": "323-467-0297",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 S Hill St Fl 6",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900123523",
"country_code": "US",
"telephone_number": "213-332-4589",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "TERESA",
"credential": "LCSW 77388",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "77388",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW77388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.