Lenny Rivera, LCSW80928
Individual provider Active NPI Clinical Social Worker · Los Angeles, CO
NPI 1922449602 · NPPES record last updated Jul 28, 2021
Key facts
- NPI
- 1922449602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW80928 (CA)
- Practice address
- 3200 Motor Ave.
Los Angeles, CO 90034 - Phone
- (310) 836-1223
- NPI assigned
- Jul 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Venice Family Clinic
Practice addresses (Care Compare)
2509 Pico Blvd
Santa Monica, CA 90405-1828
Phone (310) 664-7901
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131002153 | CA | Practitioner - Clinical Social Worker | 3678926102 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW80928 | CA | MD | Clinical Social Worker |
| 80928 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venice Family Clinic | Current |
Accepting new patients | |
| Venice Family Clinic | Current |
Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients |
Locations
2509 Pico Blvd
Santa Monica, CA 90405
Phone (310) 664-7901
604 Rose Ave
Venice, CA 90291
Phone (310) 392-8630
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW80928 | CA | Yes |
Addresses
Primary practice location
3200 Motor Ave.
Los Angeles, CO 90034
Mailing address
5453 Homeside Ave
Los Angeles, CA 90016-3711
Phone (310) 429-4135
Other providers in Los Angeles, CO
All providers in Los Angeles, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.