Individual provider Active NPI

Gabrielle A Rivera, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1922729276
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2024-0005 Issued in NM
Practice address
1709 Moon St NE
Albuquerque, NM 87112-3935
Phone
(505) 271-0329
Fax
(505) 271-4957
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWB-2024-0005 NM Primary
Clinical Social Worker 1041C0700X LCSW-19655 AZ

Addresses

Primary practice location

1709 Moon St NE
Albuquerque, NM 87112-3935

Mailing address

6635 W Happy Valley Rd Ste A104-621
Glendale, AZ 85310-2609
Phone (602) 358-7073

Other practice location 1

1321 E Poplar St
Deming, NM 88030-4807
Phone (575) 546-5951 ext. 3005

Other practice location 2

14040 N Cave Creek Rd Ste 108
Phoenix, AZ 85022-6117
Phone (602) 358-7073

Other practice location 3

8401 Constitution Ave NE
Albuquerque, NM 87110-7604
Phone (505) 271-0329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240724002997 NM Practitioner - Clinical Social Worker 5597121483 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2024-0005NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanbee Wellness, LLC Clinical CurrentSince Dec 8, 2024 Accepting new patients
Southwest Regional Education Cooperative CurrentSince Jul 21, 2024 Accepting new patients
Unica CurrentSince Jul 1, 2024 Accepting new patients

Locations

6635 W Happy Valley Rd
Ste A104621
Glendale, AZ 85310

14040 N Cave Creek Rd
Ste 108
Phoenix, AZ 85022
Phone (602) 358-7073

1709 Moon St NE
Albuquerque, NM 87112
Phone (505) 271-0329

8401 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 271-0329

1321 E Poplar St
Deming, NM 88030
Phone 5755465951 ext. 3005

Organizations & group practices 3

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1922729276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 W HAPPY VALLEY RD STE A104-621",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102609",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 MOON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123935",
            "telephone_number": "505-271-0329",
            "fax_number": "505-271-4957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 E Poplar St",
            "address_purpose": "LOCATION",
            "city": "Deming",
            "state": "NM",
            "postal_code": "880304807",
            "country_code": "US",
            "telephone_number": "575-546-5951 x3005",
            "fax_number": "575-546-5994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14040 N Cave Creek Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850226117",
            "country_code": "US",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Constitution Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871107604",
            "country_code": "US",
            "telephone_number": "505-271-0329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "GABRIELLE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2024-0005",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-19655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.