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SAMANTHA M RIVERA MSW, LICSW
NPI 1861778433
Social Worker - Clinical in Minneapolis, MN

Active since October 27, 2011PECOS Enrolled
410 CHURCH ST SE, MINNEAPOLIS, MN 55455(612) 626-3507 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 24, 2020, Jan 10, 2020, Oct 1, 2018 and 1 more (4 updates tracked since 2015).

About Samantha M Rivera Msw, Licsw NPPES

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

SAMANTHA M RIVERA MSW, LICSW (NPI 1861778433) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (22690) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861778433
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA M RIVERACredential: MSW, LICSW
Location Address410 CHURCH ST SEMinneapolis, MN 55455-0222
Mailing Address1032 Grand Ave Ste 202Saint Paul, MN 55105-3064 · (612) 567-6529 · Fax (877) 292-0677
Phone(612) 626-3507
Sole ProprietorNo
Enumeration DateOctober 27, 2011
Last NPPES UpdateJanuary 24, 20204 updates tracked since enumeration
✔ NPI 1861778433 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 MN · 22690
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.
410 CHURCH ST SE, Minneapolis, MN 55455
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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)

Samantha M Rivera Msw, Licsw 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 Samantha Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Susan Borden Psych
2.0 mi
Psychiatric/Mental Health
2303 WYCLIFF ST STE W210
Saint Paul, MN 55114
  • Reassigned Medicare billing, Minnesota enrollment
  • 17 clinicians in this Medicare group
NPI 1780313478 (612) 424-0434

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 55455 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

MS. STEPHANIE GRADY PA & NP
Family Medicine
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2612
RICHARD JON FEIST MD
Family Medicine
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
REGENTS OF THE UNIVERSITY OF MINNESOTA
Clinic/Center (Student Health)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
JEREMY ADAM GOLDBERG LICSW
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-1444
DR. SABA GHAZIMOGHADAM PH.D.
Psychologist (Counseling)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
JOY L JOHNSON-LIND LICSW
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
MARY KATHERINE UTZ LICSW
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-9194
MARILYN SUSAN JOSEPH MD
Obstetrics & Gynecology
410 CHURCH ST SE, BOYNTON HEALTH SERVICE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5187

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 Samantha Rivera's NPI number?

The NPI number for Samantha Rivera is 1861778433. It was assigned to this individual provider in the NPPES registry on October 27, 2011.

Where is Samantha Rivera located?

Samantha Rivera practices at 410 Church St SE, Minneapolis, MN 55455. The listed phone number is (612) 626-3507.

What is Samantha Rivera's specialty?

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

Is Samantha Rivera enrolled in Medicare?

Yes. Samantha Rivera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Rivera reassigns Medicare benefits to Susan Borden Psych (Saint Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Rivera was last updated on January 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.