MRS. JACQUELYN RIVERA LCSW, PPSC
NPI 1811028871
Social Worker - Clinical in Santa Ana, CA

Q: What is Jacquelyn Rivera's NPI number?

The NPI number for Jacquelyn Rivera is 1811028871. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Q: What is Jacquelyn Rivera's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Rivera was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 08, 2007PECOS Enrolled

2000 E 4TH ST STE 201, SANTA ANA, CA 92705(714) 547-0885 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Jacquelyn Rivera Lcsw, Ppsc NPPES

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

MRS. JACQUELYN RIVERA LCSW, PPSC (NPI 1811028871) is an individual clinical provider in Santa Ana, California, licensed in California (LCS27113) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811028871

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. JACQUELYN RIVERACredential: LCSW, PPSC

Location Address2000 E 4TH ST STE 201Santa Ana, CA 92705-3907

Mailing Address2021 E 4th St Ste 201Santa Ana, CA 92705-3912 · (714) 547-0885 · Fax (714) 547-8352

Phone(714) 547-0885

Sole ProprietorNo

Enumeration DateMarch 8, 2007

Last NPPES UpdateSeptember 5, 2025

NPPES CertifiedSeptember 5, 2025

✔ NPI 1811028871 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 CA · LCS27113

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.

2000 E 4TH ST STE 201, Santa Ana, CA 92705

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacquelyn Rivera Lcsw, Ppsc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jacquelyn Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Didi Hirsch Psychiatric Service

Same address

Community/Behavioral Health

2000 E 4TH ST STE 201
Santa Ana, CA 92705

Reassigned Medicare billing, California enrollment
37 clinicians in this Medicare group

NPI 1831408509 (714) 547-0885

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 92705 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 $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 8

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

SARAH JUSTINE KENNEDY LCSW

Social Worker (Clinical)