Maruka J Rivers, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007607 Issued in NC

Practice address

612 Pasteur Dr
209
Greensboro, NC 27403-1149

Phone

(336) 446-9212

NPI assigned

Feb 21, 2012

Last updated

Sep 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mriversawakenings Healing Collective PLLC

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1164169132
  NPD Authorized official
• Conscious Awakening Counseling and Consulting PLLC

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1184975443
  Authorized official Same address or phone
• Conscious Awakening Counseling and Consulting PLLC

  • Clinical Social Worker
  • Durham, NC
  • NPI 1386097954
  NPD (past) Authorized official

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1942573043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 WHITTIER DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031121",
            "telephone_number": "336-456-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 PASTEUR DR",
            "address_2": "209",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031149",
            "telephone_number": "336-446-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "MARUKA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6009055",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Rivard, M.D.
• Jose Amando Rivera Montejano
• Amanda Nicole Rivera, PA-C
• Denise Rivera
• Aeriele Rivers
• RM Genesis Healthcare (HealthSource)
• Road 2 Redemption Transitional Housing
• Julie J Robards, PHARMD
• Joyce Phyllis Robarge, CPNP
• Avery Reece Robbins, M.A., LCHMCA

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.