Provider Demographics
NPI:1275245383
Name:RIVERA, GLORIA IVETTE (LMSW)
Entity type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:IVETTE
Last Name:RIVERA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CLARKS HILL LN STE 302
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8176
Mailing Address - Country:US
Mailing Address - Phone:508-416-0439
Mailing Address - Fax:
Practice Address - Street 1:1 CLARKS HILL LN STE 302
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8176
Practice Address - Country:US
Practice Address - Phone:508-416-0439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-20
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker