Provider Demographics
NPI:1114808391
Name:RIVERA, FRANCISCO LEONARDO (LCSW)
Entity type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:LEONARDO
Last Name:RIVERA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2959 NORTHERN BLVD APT 23D
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-3648
Mailing Address - Country:US
Mailing Address - Phone:646-470-4144
Mailing Address - Fax:
Practice Address - Street 1:2959 NORTHERN BLVD APT 23D
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-3648
Practice Address - Country:US
Practice Address - Phone:646-470-4144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1009961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical