Individual provider · Type 1 NPI

Jasmine Rivera-Hackley

Clinical Social Worker · Brooklyn, NY

NPI number 1558093716 Active

Practice location

26 Court St Ste 1303
Brooklyn, NY 11242-1113

Mailing address

12405 Venice Blvd # 245
Los Angeles, CA 90066-3803

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X104126 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1558093716

Jasmine Rivera-Hackley's National Provider Identifier is 1558093716, issued on Jun 27, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 28, 2026.