National Provider Identifier
Wendell P. Rivera, PH.D., LCSW-R
Wendell P. Rivera, PH.D., LCSW-R is listed in the NPPES registry with a primary specialty of Social Worker in Kenmore, NY and a listed phone number of (716) 998-1162.
Profile Overview
- NPI
- 1285054734
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- April 23, 2014
- Last Updated
- April 23, 2014
Practice Location
- 149 Washington Ave
- Kenmore, NY 14217-1917
Phone: (716) 998-1162
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1285054734
- Entity Type
- Individual
- Last Name
- Rivera
- First Name
- Wendell
- Middle Name
- P.
- Name Prefix
- Dr.
- Credential
- PH.D., LCSW-R
- Mailing Street Address
- 149 Washington Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1917
- Mailing Country
- US
- Mailing Phone
- (716) 998-1162
- Practice Street Address
- 149 Washington Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1917
- Practice Country
- US
- Practice Phone
- (716) 998-1162
- Enumeration Date
- April 23, 2014
- Last Updated
- April 23, 2014
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)