MEDICARE: CHELSIE ANN RIVERA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	21635	OK

General Provider Information

NPI Number	:	1841122405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSIE ANN RIVERA

Provider Business Mailing Address
First Line	:	1808 NE 27TH TER
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73160-2462
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8125 S WALKER AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-9417
Country	:	US
Telephone Number	:	405-634-4400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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Directions to “ CHELSIE ANN RIVERA ” Practice Location

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