Individual provider · Type 1 NPI

Lisa Jan Rivera, LCSW-R

Clinical Social Worker · Freeport, NY

NPI number 1780675868 Active

Practice location

17 W Merrick Rd
Freeport, NY 11520-3873

Fax (516) 868-3374

Mailing address

872 Buckley Pl
Westbury, NY 11590-5810

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XRNY068869 (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 1780675868

Lisa Jan Rivera, LCSW-R's National Provider Identifier is 1780675868, issued on Oct 28, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Freeport, NY. The record was last updated on Jan 13, 2011.