Provider Demographics
NPI:1306651450
Name:RIVEA, VIOLETA MERCEDES (LMSW)
Entity type:Individual
Prefix:
First Name:VIOLETA
Middle Name:MERCEDES
Last Name:RIVEA
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 1:35 COMMERCIAL ST APT 607
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-7948
Mailing Address - Country:US
Mailing Address - Phone:917-691-9452
Mailing Address - Fax:
Practice Address - Street 1:35 COMMERCIAL ST APT 607
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-7948
Practice Address - Country:US
Practice Address - Phone:917-691-9452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW20496104100000X
NY105304104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker