Individual
LISA NICHOLE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-5886
Mailing address
505 S MAIN ST STE 249505S, LAS CRUCES, NM 88001-1206
(575) 527-5886
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2025-0048
NM
Other
Enumeration date
03/02/2022
Last updated
07/24/2025
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