JEANETTE RIVERA LCSW
NPI 1043777816
Social Worker - Clinical in Monroe, NY

Active since February 27, 2019Opted out of Medicare · through Jun 30, 2027
360 STATE ROUTE 17M STE 4, MONROE, NY 10950(845) 547-0479 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeanette Rivera Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANETTE RIVERA LCSW (NPI 1043777816) is an individual clinical provider in Monroe, New York, licensed in New York (087996) and active in the NPI registry since February 2019. She has opted out of Medicare through June 30, 2027.

NPPES Registry Identity

NPI1043777816
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJEANETTE RIVERACredential: LCSW
Location Address360 STATE ROUTE 17M STE 4Monroe, NY 10950-3444
Mailing Address3 Dawn CtChester, NY 10918-2518
Sole ProprietorYes
Enumeration DateFebruary 27, 2019
NPI 1043777816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 087996
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
360 STATE ROUTE 17M STE 4, Monroe, NY 10950

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jeanette Rivera Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 30, 2023 through June 30, 2027.

Opt-Out Effective DateJune 30, 2023
Opt-Out In Effect ThroughJune 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
360 STATE ROUTE 17M STE 4
MONROE, NY 10950
Counselor (Mental Health)
360 STATE ROUTE 17M STE 4
MONROE, NY 10950
Social Worker
360 STATE ROUTE 17M STE 4
MONROE, NY 10950
Social Worker (Clinical)
360 STATE ROUTE 17M STE 4
MONROE, NY 10950
Counselor (Mental Health)
360 STATE ROUTE 17M STE 4
MONROE, NY 10950
Social Worker (Clinical)
360 STATE ROUTE 17M STE 4
MONROE, NY 10950
Counselor (Mental Health)
360 STATE ROUTE 17M STE 4
MONROE, NY 10950
Counselor
360 STATE ROUTE 17M STE 4
MONROE, NY 10950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanette Rivera's NPI number?

The NPI number for Jeanette Rivera is 1043777816. It was assigned to this individual provider in the NPPES registry on February 27, 2019.

Where is Jeanette Rivera located?

Jeanette Rivera practices at 360 State Route 17M Ste 4, Monroe, NY 10950. The listed phone number is (845) 547-0479.

What is Jeanette Rivera's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeanette Rivera enrolled in Medicare?

No. Jeanette Rivera has opted out of Medicare through June 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jeanette Rivera was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.