Omar Rivera, LCSW
Social Worker, Clinical in New Britain, CT. Individual provider (NPI-1).
NPI number1780955484
StatusActive
Last updated in NPPESFeb 29, 2020
Details
- NPI
- 1780955484
- Entity type
- Individual (NPI-1)
- Name
- Omar Rivera
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2012
- Certification date
- Feb 29, 2020
- Last updated
- Feb 29, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 007877 | CT | Yes |
Practice location
270 John Downey DrNew Britain, CT 06051-2906
Phone 860-826-1358 · Fax 860-229-8886
Mailing address
96 Connecticut BlvdEast Hartford, CT 06108-3013
Phone 860-297-0800 · Fax 860-297-0931
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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