| Doctor Name: | JENNIFER L RIVERA |
| NPI Number: | 1235374133 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | |
| Business Practice Address: | 7454 Seneca Rd N Hornell, NY - 148439141 |
| Business Phone Number: | 6073242483 |
| Business Fax Number: | |
| Mailing Address: | 115 Liberty St, BATH |
| State: | NY |
| Postal Code: | 148101508 |
| Phone Number: | 6077766577 |
| Fax Number: | 6076642162 |
| NPI Enumeration Date: | 12/05/2008 |
| NPI Last Update Date: | 12/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |