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General NPI Number Information
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NPI Number | 1245887223
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Entity Type | Individual
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Provider Name | CARLA RIVERA MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 7404 NORTON CT
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City | WILMINGTON
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State | NC
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Zip | 28411-7127
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Country | US
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Telephone | 910-987-9649
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Fax |
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Provider Business Mailing Address
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Address Line | 322 S COLLEGE RD # 1036
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City | WILMINGTON
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State | NC
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Zip | 28403-1632
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Country | US
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Telephone | 910-442-8334
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P013692
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C015035
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License Number State | NC
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