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NPI Code Detail

MEDICARE: OLIVIA RIVERA LCSW

MEDICARE: OLIVIA 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
11041S0200XSchool Social Worker11005CT

General Provider Information

NPI Number : 1770031924
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA RIVERA LCSW
Provider Business Mailing Address
First Line : 19 GRAND ST
Second Line :
City : MIDDLETOWN
State : CT
Zip : 06457-2705
Country : US
Telephone Number : 860-347-6971
Fax Number : 860-343-7379
Provider Business Practice Location Address
First Line : 85 LAFAYETTE ST
Second Line :
City : NEW BRITAIN
State : CT
Zip : 06051-1803
Country : US
Telephone Number : 860-224-3642
Fax Number : 860-224-2760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2016
Last Update Date : 06/01/2026

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Directions to “ OLIVIA RIVERA LCSW” Practice Location

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