Sandra Nydia Rivera, LCSW
Social Worker, Clinical in Fpo, AP. Individual provider (NPI-1).
NPI number1982186672
StatusActive
Last updated in NPPESSep 4, 2023
Details
- NPI
- 1982186672
- Entity type
- Individual (NPI-1)
- Name
- Sandra Nydia Rivera
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2018
- Certification date
- Aug 23, 2023
- Last updated
- Sep 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW14864 | FL | Yes |
| 104100000X | Social Worker | 14864 | FL |
Practice location
Psc 476 Box 25Fpo, AP 96322-0001
Phone 315-252-2596
Mailing address
Psc 476 Box 25Fpo, AP 96322-0001
Phone 315-252-2596
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