Individual
BEVERLY A RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11514 ORLEANS LN, PORT RICHEY, FL 34668-1128
(914) 309-5506
Mailing address
11514 ORLEANS LN, PORT RICHEY, FL 34668-1128
(914) 309-5506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
R056711
NY
1041C0700X
Clinical Social Worker
Primary
SW13400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02216360
—
NY
01
—
11645
CASAC
NY
01
—
RO56711
LICENSED CLINICAL SOCIAL
NY
Enumeration date
04/17/2007
Last updated
02/06/2017
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