MEDICARE: MR. LUIS O. RIVERA-GONZALEZ 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	SW12254	FL
2	101YM0800X	Mental Health Counselor	SW12254	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447375308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LUIS O. RIVERA-GONZALEZ LCSW

Provider Business Mailing Address
First Line	:	1324 LAKELAND HILLS BLVD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33805-4543
Country	:	US
Telephone Number	:	863-687-1100
Fax Number	:	863-603-6528

Provider Business Practice Location Address
First Line	:	4120 US HIGHWAY 98 N
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33809-3854
Country	:	US
Telephone Number	:	863-687-1222
Fax Number	:	863-603-6546

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	01/27/2026

Similar Medicare Providers

1134137011 — BANKE AGARWAL MD
Practice Location Address:

4120 US HIGHWAY 98 N
LAKELAND, FL
33809-3854

Practice Phone: 863-687-8335
Practice Fax: 863-687-8337

1386615581 — DR. UGOCHUKWU C NZEAKO MD MPH
Practice Location Address:

4120 US HIGHWAY 98 N
LAKELAND, FL
33809-3854

Practice Phone: 863-687-8335
Practice Fax: 863-687-8337

1912871344 — LAKELAND REGIONAL HEALTH SYSTEMS, INC.
Practice Location Address:

4120 US HIGHWAY 98 N
LAKELAND, FL
33809-3854

Practice Phone: 863-284-6860
Practice Fax: 863-688-7959

1467397638 — OHI LAKELAND HIGHLANDS INC
Practice Location Address:

963 LAKELAND PARK CENTER DR
LAKELAND, FL
33809-3839

Practice Phone: 863-825-4231
Practice Fax:

1003758582 — GALENCARE, INC.
Practice Location Address:

1075 CARPENTERS WAY
LAKELAND, FL
33809-3927

Practice Phone: 863-340-5740
Practice Fax:

1437091113 — KRISTEN PRICE LCSW
Practice Location Address:

5416 QUARRY ROCK RD
LAKELAND, FL
33809-0835

Practice Phone: 863-279-8919
Practice Fax:

Directions to “ MR. LUIS O. RIVERA-GONZALEZ LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.