1. Home
  2. Directory
  3. Washington
  4. Fairchild Afb
  5. Social Worker
  6. NPI Profile

WANDALYZ RIVERA DE JESUS MSW
NPI 1821757451
Social Worker - Clinical in Fairchild Afb, WA

Active since December 10, 2021
5496 PINE ST, FAIRCHILD AFB, WA 99011(787) 943-0151 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2022, Dec 10, 2021 (2 updates tracked since 2021).

About Wandalyz Rivera De Jesus Msw NPPES

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

WANDALYZ RIVERA DE JESUS MSW (NPI 1821757451) is an individual clinical provider in Fairchild Afb, Washington, licensed in Puerto Rico (14351) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1821757451
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameWANDALYZ RIVERA DE JESUSCredential: MSW
Location Address5496 PINE STFairchild Afb, WA 99011-2209
Mailing Address5496 Pine StFairchild Afb, WA 99011-2209 · (787) 943-0151
Phone(787) 943-0151
Sole ProprietorYes
Enumeration DateDecember 10, 2021
Last NPPES UpdateMarch 21, 20222 updates tracked since enumeration
NPPES CertifiedMarch 21, 2022
✔ NPI 1821757451 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 PR · 14351
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.
5496 PINE ST, Fairchild Afb, WA 99011
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Wandalyz Rivera De Jesus's NPI number?

The NPI number for Wandalyz Rivera De Jesus is 1821757451. It was assigned to this individual provider in the NPPES registry on December 10, 2021.

Where is Wandalyz Rivera De Jesus located?

Wandalyz Rivera De Jesus practices at 5496 Pine St, Fairchild Afb, WA 99011. The listed phone number is (787) 943-0151.

What is Wandalyz Rivera De Jesus'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 Wandalyz Rivera De Jesus was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.