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MRS. LISA MARIE RIVERA LCSW
NPI 1053856989
Social Worker - Clinical in Danielson, CT

Active since January 02, 2017PECOS EnrolledAccepts Medicare Assignment
181 MAIN ST, DANIELSON, CT 06239(860) 753-6014(877) 552-0608 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2025, Jan 2, 2017 (2 updates tracked since 2017).

About Mrs. Lisa Marie Rivera Lcsw NPPES

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

MRS. LISA MARIE RIVERA LCSW (NPI 1053856989) is an individual clinical provider in Danielson, Connecticut, licensed in Connecticut (9611) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1053856989
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. LISA MARIE RIVERACredential: LCSW
Location Address181 MAIN STDanielson, CT 06239-2815
Mailing AddressPo Box 67Danielson, CT 06239-0067 · (860) 753-6015 · Fax (860) 753-6015
Phone(860) 753-6014
Fax(877) 552-0608
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 2, 2017
Last NPPES UpdateMay 19, 20252 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1053856989 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 CT · 9611
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.
181 MAIN ST, Danielson, CT 06239
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Secondary Practice Locations 2

Location 124 Frog Pond RdWoodstock, CT 06281-3009 · Phone (860) 753-6015 · Fax (877) 552-0608
Location 2147B Route 169Woodstock, CT 06281-3327 · Phone (860) 753-6015 · Fax (877) 552-0608

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lisa Marie Rivera Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133404882
PECOS Enrollment IDI20170321002073
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Marie Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Full Circle Family Services At White Brook Farm, LLC
Same address
Clinical
181 MAIN ST
Danielson, CT 06239
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1326587882 (860) 753-6015

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

FULL CIRCLE FAMILY SERVICES AT WHITE BROOK FARM, LLC
Social Worker (Clinical)
181 MAIN ST
DANIELSON, CT 06239
Northeastern Connecticut Planning Region (860) 753-6015

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 Lisa Marie Rivera's NPI number?

The NPI number for Lisa Marie Rivera is 1053856989. It was assigned to this individual provider in the NPPES registry on January 2, 2017.

Where is Lisa Marie Rivera located?

Lisa Marie Rivera practices at 181 Main St, Danielson, CT 06239. The listed phone number is (860) 753-6014.

What is Lisa Marie Rivera's specialty?

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

Is Lisa Marie Rivera enrolled in Medicare?

Yes. Lisa Marie Rivera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lisa Marie Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Marie Rivera reassigns Medicare benefits to Full Circle Family Services At White Brook Farm, LLC (Danielson, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Marie Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Marie Rivera accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Lisa Marie Rivera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Marie Rivera was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.