Rivers, Beverly A
Rivers, Beverly A is an sole proprietor health care provider with primary practice located at 11514 Orleans Ln , Port Richey FL 34668-1128. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rivers, Beverly A can be contacted via phone (914) 309-5506.Contact Information
Primary practice address
11514 Orleans Ln
Port Richey FL 34668-1128
Phone: (914) 309-5506
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R056711 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW13400 | Florida |
Profile Details
| NPI number | 1275759755 |
|---|---|
| LBN Legal business name | Rivers, Beverly A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Feb 6th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275759755 | NPPES |
| New York | MEDICAID | 02216360 | |
| New York | Other | RO56711 | |
| New York | Other | 11645 |
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