Individual provider · Type 1 NPI

Kelly Rivera, LCSW

Clinical Social Worker · Springfield, IL

NPI number 1780011932 Active

Practice location

2501 Chatham Rd Ste N
Springfield, IL 62704-4188

Mailing address

6134 W Addison St
Chicago, IL 60634-4115

Other practice locations

  • 2500 18th St, San Francisco, CA 94110-2109 · (415) 546-6756

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X75388 (CA)

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 1780011932

Kelly Rivera, LCSW's National Provider Identifier is 1780011932, issued on Oct 2, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springfield, IL. The record was last updated on Nov 8, 2022.