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KERRY RIVERA LCSW
NPI 1073100897
Social Worker - Clinical in West Islip, NY

Active since December 28, 2020
631 MONTAUK HWY STE 9, WEST ISLIP, NY 11795(631) 319-9512 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2024, Dec 28, 2020 (2 updates tracked since 2020).

About Kerry Rivera Lcsw NPPES

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

KERRY RIVERA LCSW (NPI 1073100897) is an individual clinical provider in West Islip, New York, licensed in New York (098466-01) and active in the NPI registry since December 2020. She maintains a secondary practice location in Sayville.

NPPES Registry Identity

NPI1073100897
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKERRY RIVERACredential: LCSW
Location Address631 MONTAUK HWY STE 9West Islip, NY 11795-4400
Mailing Address17 Barberry RdWest Islip, NY 11795-3910 · (631) 793-3435
Phone(631) 319-9512
Sole ProprietorYes
Enumeration DateDecember 28, 2020
Last NPPES UpdateNovember 19, 20242 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1073100897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · 098466-01✔ Licensed in NY · 056611-1
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.
631 MONTAUK HWY STE 9, West Islip, NY 11795
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Secondary Practice Location 1

Location 1296 N Main StSayville, NY 11782-2550 · Phone (631) 472-2629

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 Kerry Rivera's NPI number?

The NPI number for Kerry Rivera is 1073100897. It was assigned to this individual provider in the NPPES registry on December 28, 2020.

Where is Kerry Rivera located?

Kerry Rivera practices at 631 Montauk Hwy Ste 9, West Islip, NY 11795. The listed phone number is (631) 319-9512.

What is Kerry Rivera's specialty?

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

When was this NPI record last updated?

The NPPES record for Kerry Rivera was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.