MEDICARE: MR. FRANCISCO LEONARDO RIVERA LCSW

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	1041C0700X	Clinical Social Worker	100996	NY

General Provider Information

NPI Number	:	1114808391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANCISCO LEONARDO RIVERA LCSW

Provider Business Mailing Address
First Line	:	2959 NORTHERN BLVD APT 23D
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-3648
Country	:	US
Telephone Number	:	646-470-4144
Fax Number	:

Provider Business Practice Location Address
First Line	:	2959 NORTHERN BLVD APT 23D
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-3648
Country	:	US
Telephone Number	:	646-470-4144
Fax Number	:

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

Provider Enumeration Date	:	09/11/2025
Last Update Date	:	09/11/2025

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