Healthcare Provider Details

I. General information

NPI: 1932823077
Provider Name (Legal Business Name): MELISSA FRANCES RIVERO LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2022
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 MAIN STREET
SALISBURY MD
21801
US

IV. Provider business mailing address

540 RIVERSIDE DR STE 13
SALISBURY MD
21801-5352
US

V. Phone/Fax

Practice location:
  • Phone: 410-860-8227
  • Fax:
Mailing address:
  • Phone: 410-205-9444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC14647
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC14647
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: