National Provider Identifier
Jason Joshua Rivera, LMSW-CLINICAL
Jason Joshua Rivera, LMSW-CLINICAL is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 463-2646.
Profile Overview
- NPI
- 1366141566
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- February 27, 2023
- Last Updated
- February 27, 2023
Practice Location
- 260 Calkins RD
- Rochester, NY 14623-4210
Phone: (585) 463-2646
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1366141566
- Entity Type
- Individual
- Last Name
- Rivera
- First Name
- Jason
- Middle Name
- Joshua
- Credential
- LMSW-CLINICAL
- Mailing Street Address
- 260 Calkins RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-4210
- Mailing Country
- US
- Mailing Phone
- (585) 463-2646
- Practice Street Address
- 260 Calkins RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-4210
- Practice Country
- US
- Practice Phone
- (585) 463-2646
- Enumeration Date
- February 27, 2023
- Last Updated
- February 27, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)