Rivers, Beverly A

Rivers, Beverly A is an sole proprietor health care provider with primary practice located at 11514 Orleans Ln , Port Richey FL 34668-1128. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rivers, Beverly A can be contacted via phone (914) 309-5506.

Contact Information

Primary practice address
11514 Orleans Ln Port Richey FL 34668-1128
Phone: (914) 309-5506
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R056711 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW13400 Florida

Profile Details

NPI number 1275759755
LBN Legal business name Rivers, Beverly A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Feb 6th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275759755 NPPES
New York MEDICAID 02216360
New York Other RO56711
New York Other 11645

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