| Kimberly Rivera Lcsw, Llc | |
|
14 Forest Ave Caldwell NJ 07006-5208 | |
| (973) 307-0182 | |
| Not Available |
| Full Name | Kimberly Rivera Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14 Forest Ave, Caldwell, New Jersey |
| Authorized Official Name and Position | Kimberly C Rivera (OWNER) |
| Authorized Official Contact | 9733070182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Rivera Lcsw, Llc 59 Sunnyside Rd West Orange NJ 07052-2031 Ph: () - | Kimberly Rivera Lcsw, Llc 14 Forest Ave Caldwell NJ 07006-5208 Ph: (973) 307-0182 |
| NPI Number | 1962913657 |
|---|---|
| Provider Enumeration Date | 10/20/2017 |
| Last Update Date | 10/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962913657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05624400 (New Jersey) | Primary |
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