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General NPI Number Information
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NPI Number | 1235001066
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Entity Type | Individual
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Provider Name | JOSEPH CARLOS RIVERA MSW, LSW
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Gender | Male
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 201 WASHINGTON ST
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City | NEWARK
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State | NJ
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Zip | 07102-2922
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Country | US
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Telephone | 862-240-1461
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Fax |
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Provider Business Mailing Address
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Address Line | 208 N 3RD ST APT 3
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City | HARRISON
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State | NJ
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Zip | 07029-2686
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Country | US
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Telephone | 973-289-3740
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL07275200
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License Number State | NJ
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