MRS. LISA JAN RIVERA (NPI# 1780675868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780675868 |
| Entity Type | Individual |
| Full Name | MRS. LISA JAN RIVERA |
| Credential | LCSW-R |
| Practice Address |
17 W Merrick Rd Freeport NY 11520-3873 |
| Mailing Address |
872 Buckley Pl Westbury NY 11590-5810 |
| Practice Telephone | 9172575880 |
| Practice Fax Number | 5168683374 |
| Mailing Telephone | 9172575880 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2011-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
RNY068869 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083074413 | Lisa Marie Rivera | Case Manager/Care Coordinator | 5683 Tucson Dr, #1, San Jose, CA 95118-3217 | 2016-02-26 |
| 1811352784 | Lisa Marie Rivera | Pharmacist | 1600 Mallard Cir, Mansfield, TX 76063-4082 | 2015-12-20 |
| 1366427395 | Lisa Katherine Rivera | Pathology | 590 Moffet St, Bldg 4077, Joint Base Pearl Harbor-hickam, Honolulu, HI 96853-5168 | 2005-12-13 |
| 1245852631 | Lisa J Rivera | Nurse Practitioner | 901 W Main St, Freehold, NJ 07728-2549 | 2020-05-08 |
| 1992337729 | Lisa Maureen Rivera | Family Medicine | 70 Main St, Florence, MA 01062-1487 | 2020-02-10 |
| 1598233322 | Lisa Rivera | Occupational Therapist | 11690 Neelsville Church Rd, Germantown, MD 20876-4127 | 2018-11-09 |
| 1750856449 | Lisa Rivera | Case Manager/Care Coordinator | 3167 Fulton Rd, Cleveland, OH 44109-1465 | 2018-10-09 |
| 1437522406 | Lisa Rivera | Dental Hygienist | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2015-11-12 |
| 1033581749 | Lisa Rivera | Counselor | 1225 Ken Pratt Blvd, Ste. 200, Longmont, CO 80501-6518 | 2015-10-21 |
| 1093146391 | Lisa Denise Rivera | Nurse Practitioner | 219 Bryant St, Tanner 9, Buffalo, NY 14222-2006 | 2013-12-12 |
| Street Address |
17 W MERRICK RD |
| City | FREEPORT |
| State | NY |
| Zip Code | 11520-3873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215201538 | Kathleen Mary Cassidy Brammer | Social Worker | 17 W Merrick Rd, Freeport, NY 11520-3873 | 2012-03-05 |
| 1861772006 | Dawn France-mcmillan | Social Worker | 17 W Merrick Rd, Freeport, NY 11520-3873 | 2011-08-19 |
| 1841585122 | Paul Ammendola | Social Worker | 17 W Merrick Rd, Freeport, NY 11520-3873 | 2011-06-14 |
| 1396039319 | Jodi Sussman | Counselor | 17 W Merrick Rd, Freeport, NY 11520-3873 | 2011-06-07 |
| 1760776967 | Shirley White | Counselor | 17 W Merrick Rd, Freeport, NY 11520-3873 | 2011-06-06 |
| 1104137470 | Nicole Alexandra Stern | Social Worker | 17 W Merrick Rd, Freeport, NY 11520-3873 | 2010-07-01 |
| 1144558651 | Mayte Santiago | Social Worker | 17 W Merrick Rd, Freeport, NY 11520-3873 | 2009-11-20 |
| 1558695965 | Angela Wong | Social Worker | 17 W Merrick Rd, Freeport, NY 11520-3873 | 2009-10-01 |
| 1043544455 | Sonia A Fletcher | Social Worker | 17 W Merrick Rd, Freeport, NY 11520-3873 | 2009-10-01 |
| 1609109248 | Liduvina Vazquez | Behavioral Analyst | 17 W Merrick Rd, Freeport, NY 11520-3873 | 2009-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157154 | Barbara Chillemi | Registered Nurse | 56 Mackay Place, Freeport, NY 11520 | 2019-04-12 |
| 1588171631 | Lisa Frank | Nurse Practitioner | 150 Buffalo Ave, Freeport, NY 11520 | 2018-01-10 |
| 1447775838 | Julner Quettant Jr. | Physical Therapist | 63 St Marks Ave, Freeport, NY 11520 | 2017-08-07 |
| 1679003933 | Candice A R Greene | Speech-Language Pathologist | 12 Summers Place, Freeport, NY 11520 | 2017-06-19 |
| 1700310331 | Samantha Edwards | Psychologist | 6 Delisle Avenue, Freeport, NY 11520 | 2017-04-20 |
| 1275073769 | Dorothea Geiger | Behavior Technician | 90 Hillside Ave, Freeport, NY 11520 | 2017-03-02 |
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| 1861849135 | Daniel Lora | Acupuncturist | 140 Parsons Ave, Freeport, NY 11520 | 2016-05-17 |
| 1326413790 | Beatrice Jeanty | Registered Nurse | 619 South Long Beach Ave., Freeport, NY 11520 | 2015-12-10 |
| 1134505548 | Maria A. Meek | Nurse Practitioner | 334, West Merrick Rd., Freeport., NY 11520 | 2015-08-07 |
| Find all providers in zip 11520 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008678 | Desiree Baird | Social Worker | 248 Hickory St, Freeport, FL 32439-6625 | 2020-03-21 |
| 1194372540 | Virginia Mary Silver | Social Worker | 349 Miller Ave, Freeport, NY 11520-6112 | 2019-08-21 |
| 1184164881 | Aliza Thomas | Social Worker | 3 Mayfair Ct, Freeport, NY 11520-1943 | 2017-02-28 |
| 1760928485 | Megan Ragucci | Social Worker | 48 Litchfield Road, Freeport, ME 04032-6513 | 2017-01-19 |
| 1558748442 | Paul Dunton | Social Worker | 31 Allen Range Rd, Freeport, ME 04032-6612 | 2015-04-30 |
| 1205277860 | Beverly Torres | Social Worker | 42 Guy Lombardo Ave Ste 210c, Freeport, NY 11520-3610 | 2013-07-11 |
| 1487992673 | Angela D Daubon | Social Worker | 41 Frankel Ave, Freeport, NY 11520-4814 | 2013-01-22 |
| 1992057830 | Heather J Rotter | Social Worker | 91 Guy Lombardo Ave Ste 1, Freeport, NY 11520-3731 | 2012-10-02 |
| 1407119795 | Robert B Cameron | Social Worker | 491 Us Route 1 Ste 23, Freeport, ME 04032-7022 | 2012-06-21 |
| 1023307006 | Danita Elizabeth Omeir-wright | Social Worker | 40 Wilson Pl, Freeport, NY 11520-2635 | 2011-03-30 |
| Find all providers in FREEPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.