MEDICARE: RIVE COUNSELING SERVICES LCSW PLLC

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

General Provider Information

NPI Number	:	1801752423
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVE COUNSELING SERVICES LCSW PLLC

Provider Business Mailing Address
First Line	:	14 HARWOOD CT STE 415
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-4120
Country	:	US
Telephone Number	:	914-214-9215
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 HARWOOD CT STE 415
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-4120
Country	:	US
Telephone Number	:	914-214-9215
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. AMANDA J WILSON
Credential	:	LCSW
Telephone Number	:	914-214-9215

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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