Rivers, Penelope G

Rivers, Penelope G is an sole proprietor health care provider with primary practice located at 1226 S Broadway St , New Ulm MN 56073-3454. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rivers, Penelope G can be contacted via phone (507) 359-2080.

Contact Information

Primary practice address
1226 S Broadway St New Ulm MN 56073-3454
Phone: (507) 359-2080
Fax: (507) 359-2086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 16577 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X L3738 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X L3738 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 16577 Minnesota

Profile Details

NPI number 1225053200
LBN Legal business name Rivers, Penelope G
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated May 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225053200 NPPES
Minnesota MEDICAID 1093815136

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