Jesus Rivera Jr., LCSW
Social Worker, Clinical in Gilroy, CA. Individual provider (NPI-1).
NPI number1417106972
StatusActive
Last updated in NPPESAug 12, 2025
Details
- NPI
- 1417106972
- Entity type
- Individual (NPI-1)
- Name
- Jesus Rivera Jr.
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2008
- Certification date
- Aug 12, 2025
- Last updated
- Aug 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 92769 | CA | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
290 Ioof AveGilroy, CA 95020-5204
Phone 408-846-2100
Mailing address
290 Ioof AveGilroy, CA 95020-5204
Phone 408-846-2100
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