MEDICARE: SOFIA RIVERA LSW

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	104100000X	Social Worker	150118404	IL

General Provider Information

NPI Number	:	1932063146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOFIA RIVERA LSW

Provider Business Mailing Address
First Line	:	2919 CROSSING CT STE 13
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61822-5904
Country	:	US
Telephone Number	:	217-861-4063
Fax Number	:

Provider Business Practice Location Address
First Line	:	2919 CROSSING CT STE 13
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61822-5904
Country	:	US
Telephone Number	:	217-861-4063
Fax Number	:

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

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/16/2025

Similar Medicare Providers

1225989965 — KORTNEY WILCHER
Practice Location Address:

2919 CROSSING CT STE 2
CHAMPAIGN, IL
61822-5904

Practice Phone: 844-764-2726
Practice Fax:

1255579066 — MARY DURAN LCSW
Practice Location Address:

2919 CROSSING CT STE 13
CHAMPAIGN, IL
61822-5904

Practice Phone: 217-439-4035
Practice Fax:

1235587866 — SHANNON M SCHNEIDER LCPC
Practice Location Address:

2919 CROSSING CT STE 6A
CHAMPAIGN, IL
61822-5904

Practice Phone: 217-637-5172
Practice Fax: 217-531-2788

1336615905 — AMY E DEAN LCSW
Practice Location Address:

2919 CROSSING CT STE 13
CHAMPAIGN, IL
61822-5904

Practice Phone: 217-394-5382
Practice Fax:

1689541195 — FULL CIRCLE THERAPY LLC
Practice Location Address:

2919 CROSSING CT STE 8
CHAMPAIGN, IL
61822-5904

Practice Phone: 217-275-8811
Practice Fax: 217-600-3205

1497611099 — ELLIZABETH DECKER
Practice Location Address:

2919 CROSSING CT STE 13
CHAMPAIGN, IL
61822-5904

Practice Phone: 217-861-4063
Practice Fax: 217-864-8919

Directions to “ SOFIA RIVERA LSW” 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.