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KELLY RIVADENEYRA MSW, LCSW
NPI 1790242469
Social Worker - Clinical in San Marcos, CA

Active since February 28, 2019PECOS EnrolledAccepts Medicare Assignment
150 VALPREDA RD, SAN MARCOS, CA 92069(760) 736-6780 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 8, 2024, Oct 13, 2021, Apr 8, 2021 and 1 more (4 updates tracked since 2019).

About Kelly Rivadeneyra Msw, Lcsw NPPES

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

KELLY RIVADENEYRA MSW, LCSW (NPI 1790242469) is an individual clinical provider in San Marcos, California, licensed in California (122911) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Nutley, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790242469
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY RIVADENEYRACredential: MSW, LCSW
Location Address150 VALPREDA RDSan Marcos, CA 92069-2973
Mailing Address150 Valpreda RdSan Marcos, CA 92069-2973 · (760) 736-6767
Phone(760) 736-6780
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 28, 2019
Last NPPES UpdateAugust 26, 20244 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
✔ NPI 1790242469 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 CA · 122911✔ Licensed in NJ · 44SC05971300
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.
150 VALPREDA RD, San Marcos, CA 92069
Open in Google Maps ↗

Secondary Practice Location 1

Location 1169 Chestnut StNutley, NJ 07110-2311 · Phone (973) 667-1884

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Rivadeneyra Msw, 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 ID4587072103
PECOS Enrollment IDI20240926003265
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92069 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 $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 20

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

DR. GREGORY M SMITH
Dentist (General Practice)
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (310) 439-8059
CLAUDIO ODILON CABREJOS MD
Psychiatry & Neurology (Psychiatry)
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (760) 736-6767
BLANCA ARIAS LCSW
Social Worker (Clinical)
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (760) 736-6700
LILIANA M PONCE LCSW
Social Worker (Clinical)
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (760) 736-6780
DR. FRANZ RICKY HINOJOSA M.D.
Psychiatry & Neurology (Psychiatry)
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (760) 736-6700
GABRIELA ANDREA JUACHE-VELASCO PA-C
Physician Assistant
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (760) 736-6767
DR. KELLY ANN MARTINEZ MD
Obstetrics & Gynecology
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (760) 736-6700
CONSUELO RAZO RN
Registered Nurse
150 VALPREDA RD
SAN MARCOS, CA 92069
San Diego County (760) 736-6780

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 Kelly Rivadeneyra's NPI number?

The NPI number for Kelly Rivadeneyra is 1790242469. It was assigned to this individual provider in the NPPES registry on February 28, 2019.

Where is Kelly Rivadeneyra located?

Kelly Rivadeneyra practices at 150 Valpreda Rd, San Marcos, CA 92069. The listed phone number is (760) 736-6780.

What is Kelly Rivadeneyra's specialty?

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

Is Kelly Rivadeneyra enrolled in Medicare?

Yes. Kelly Rivadeneyra 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.

When was this NPI record last updated?

The NPPES record for Kelly Rivadeneyra was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.