Ms Yesenia Rivera, LCSW | |
146 Pike St, Port Jervis, NY 12771-1808 | |
(845) 858-1456 | |
(845) 858-1459 |
Full Name | Ms Yesenia Rivera |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 146 Pike St, Port Jervis, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851460869 | NPI | - | NPPES |
04294235 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R059982 (New York) | Primary |
Entity Name | Bronxcare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245390855 PECOS PAC ID: 3870404429 Enrollment ID: O20040526001082 |
Mailing Address | Practice Location Address |
---|---|
Ms Yesenia Rivera, LCSW 30 Harriman Dr, Goshen, NY 10924-2410 Ph: (845) 291-2600 | Ms Yesenia Rivera, LCSW 146 Pike St, Port Jervis, NY 12771-1808 Ph: (845) 858-1456 |
Mr. Lawrence Edward Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Shin Hollow Rd, Port Jervis, NY 12771 Phone: 845-866-5542 Fax: 845-858-3837 | |
Timothy Richard Gregory, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 56 Front St, Port Jervis, NY 12771 Phone: 845-858-3253 | |
Lacey Anne Trimble, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-291-2604 | |
Ms. Victoria Caruso, LCSWR Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-858-1456 | |
Nichole C Delavega, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-858-1456 | |
Mr. Phillip Whayne Bennett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Pike Street, Port Jervis, NY 12771 Phone: 845-858-1456 Fax: 845-858-1459 | |
Mrs. Maria C. Czarnowski, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-858-1456 |