Active NPI
Carlos Alberto Rivera, LCSW
- Clinical Social Worker
- New Haven, CT
National Provider Identifier
1972075802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 003942
- Practice address
- 116 Sherman Ave FL 1RST
New Haven, CT 06511-5204 - Phone
- (203) 781-0226
- Fax
- (203) 781-0229
- NPI assigned
- Dec 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 003942 | CT | Primary |
Addresses
Primary practice location
116 Sherman Ave FL 1RST
New Haven, CT 06511-5204
Mailing address
116 Sherman Ave FL 1RST
New Haven, CT 06511-5204
Phone (203) 781-0226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003942 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1972075802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 SHERMAN AVE FL 1RST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115204",
"telephone_number": "203-781-0226",
"fax_number": "203-781-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 SHERMAN AVE FL 1RST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115204",
"telephone_number": "203-781-0226",
"fax_number": "203-781-0229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "CARLOS",
"middle_name": "ALBERTO",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-17",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "003942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.