Mary Kathleen Rivera
Case Manager/Care Coordinator in Bridgeport, CT. Individual provider (NPI-1).
NPI number1497620264
StatusActive
Last updated in NPPESOct 9, 2025
Details
- NPI
- 1497620264
- Entity type
- Individual (NPI-1)
- Name
- Mary Kathleen Rivera
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2025
- Certification date
- Oct 9, 2025
- Last updated
- Oct 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | NY | Yes |
Other names
- Mary Kathleen Krause (Former Name)
Practice location
129 Alsace StBridgeport, CT 06604-5215
Phone 203-556-4873
Mailing address
129 Alsace StBridgeport, CT 06604-5215
Phone 203-556-4873
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All 12 Case Manager/Care Coordinator providers in Bridgeport · All 3,629 providers in Bridgeport
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