Doctor Name: | MRS. MARIA RIVERA |
NPI Number: | 1003197633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C007456 |
Business Practice Address: | 3421 Murchison Rd Fayetteville, NC - 283112889 |
Business Phone Number: | 9106306300 |
Business Fax Number: | |
Mailing Address: | 304 Ayrshire Ct, FAYETTEVILLE |
State: | NC |
Postal Code: | 283110208 |
Phone Number: | 9105808849 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2011 |
NPI Last Update Date: | 01/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C007456 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |