Provider Demographics
NPI:1417796491
Name:RIVERA CORDOVA, CLAUDIA MARGARITA (LMSW)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:MARGARITA
Last Name:RIVERA CORDOVA
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 1:1321 S 11TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104-3530
Mailing Address - Country:US
Mailing Address - Phone:314-627-9827
Mailing Address - Fax:
Practice Address - Street 1:1321 S 11TH ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-3530
Practice Address - Country:US
Practice Address - Phone:314-627-9827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker