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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KELLYE RIVERA
NPI 1508785833
Social Worker in Fort Worth, TX

Active since July 11, 2026
2204 PARK PLACE AVE STE B, FORT WORTH, TX 76110(682) 252-3830 Get Directions Write a Review

NPPES record added: July 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellye Rivera NPPES

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

KELLYE RIVERA (NPI 1508785833) is an individual social worker in Fort Worth, Texas, licensed in Texas (118027) and active in the NPI registry since July 2026. She maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1508785833
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELLYE RIVERA
Location Address2204 PARK PLACE AVE STE BFort Worth, TX 76110-1234
Mailing Address2204 Park Place Ave Ste BFort Worth, TX 76110-1234 · (682) 252-3830
Phone(682) 252-3830
Sole ProprietorYes
Enumeration DateJuly 11, 2026
NPPES CertifiedJuly 12, 2026
✔ NPI 1508785833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in TX · 118027
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
2204 PARK PLACE AVE STE B, Fort Worth, TX 76110
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Secondary Practice Location 1

Location 16421 Camp Bowie Blvd Ste 416Fort Worth, TX 76116-5422 · Phone (682) 252-3830

Other Providers at the Same Location NPPES 2

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

KEAUNNA SHAUNTASIA GAMBLE LCSW
Social Worker (Clinical)
2204 PARK PLACE AVE STE B
FORT WORTH, TX 76110
Tarrant County (682) 292-8515
AARON A. YORK LCSW
Social Worker (Clinical)
2204 PARK PLACE AVE STE B
FORT WORTH, TX 76110
Tarrant County (682) 557-9591

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 Kellye Rivera's NPI number?

The NPI number for Kellye Rivera is 1508785833. It was assigned to this individual provider in the NPPES registry on July 11, 2026.

Where is Kellye Rivera located?

Kellye Rivera practices at 2204 Park Place Ave Ste B, Fort Worth, TX 76110. The listed phone number is (682) 252-3830.

What is Kellye Rivera's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kellye Rivera was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.