Healthcare Provider Details

I. General information

NPI: 1700708393
Provider Name (Legal Business Name): VALERIE JANETTE RIVAS ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3260 KERNER BLVD
SAN RAFAEL CA
94901-4840
US

IV. Provider business mailing address

3260 KERNER BLVD
SAN RAFAEL CA
94901-4840
US

V. Phone/Fax

Practice location:
  • Phone: 415-448-1500
  • Fax:
Mailing address:
  • Phone: 415-448-1500
  • Fax: 415-755-2550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW140221
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: