Jaqueline Rivas, is a
Social Worker based in Fort Worth, Texas. Jaqueline Rivas is licensed to practice in Texas (license number 107429) and her current practice location is
4928 Navajo Way, Fort Worth, Texas. She can be reached at her office (for appointments etc.) via phone at
(949) 929-4249.
NPI number for Jaqueline Rivas is 1104169465 and her current mailing address is 4928 Navajo Way, Fort Worth, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104169465.
Healthcare Provider's Profile
| Full Name | Jaqueline Rivas |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 4928 Navajo Way, Fort Worth, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104169465
- Provider Enumeration Date: 04/04/2013
- Last Update Date: 01/25/2024
Medical Identifiers
Medical identifiers for Jaqueline Rivas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104169465 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 107429 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaqueline Rivas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jaqueline Rivas,
4928 Navajo Way,
Fort Worth, TX 76137-5151
Ph: (949) 929-4249 | Jaqueline Rivas,
4928 Navajo Way,
Fort Worth, TX 76137-5151
Ph: (949) 929-4249 |
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