Jorge Rivas-Carrillo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23341 Issued in FL

Practice address

3079 Lockwood Lake Cir
Sarasota, FL 34234-7983

Phone

(201) 640-7228

NPI assigned

Feb 7, 2014

Last updated

Aug 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Florida Center for Early Childhood, Inc.

  • Clinic/Center
  • Sarasota, FL
  • NPI 1831340660
  NPD (past)

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1952725186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 LOCKWOOD LAKE CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342347983",
            "telephone_number": "201-640-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 LOCKWOOD LAKE CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342347983",
            "telephone_number": "201-640-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS-CARRILLO",
        "first_name": "JORGE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "23341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Rist, APRN
• Joanna Ritter, BCABA
• Justine Ritter, PHD
• Mark A Ritter, MD PHD
• Melissa Rivadeneira
• Sara Rivenbark, SLP
• Christian Javier Rivera Carrero, MD
• Keishla Arleen Rivera-Martinez, MSW
• Desiree Rivera-Nieves, M.D.
• Alondra Stefany Rivera, MD

• Clinical Social Worker in Sarasota, FL
• Providers in Sarasota, 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 Aug 1, 2024; 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.