Active NPIIndividual providerSole proprietor

Anne Rivers, LCSW

Social Worker, Clinical in Mystic, Connecticut

NPI Number1174853691
Practice location
12 Roosevelt Ave, Suite 203, Mystic, CT 06355-2809
Fax
860-536-2873
Last updated
January 6, 2010

Anne Rivers is a Social Worker, Clinical based in Mystic, CT. Anne Rivers practices in Mystic, CT and has the professional credentials of LCSW. The NPI Number for Anne Rivers is 1174853691 and holds a License No. 00664 (CT). The current practice location address for Anne Rivers is 12 Roosevelt Ave, Suite 203, Mystic, CT 06355-2809 and can be reached out via phone at 860-536-4383 and via fax at 860-536-2873.

Provider Profile Details

NPI Number
1174853691
Provider Name
Anne Rivers
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
12 Roosevelt Ave, Suite 203, Mystic, CT 06355-2809
Phone Number
860-536-4383
Fax Number
860-536-2873
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 6, 2010
Last Update Date
January 6, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Roosevelt Ave
Suite 203
Mystic, CT 06355-2809
City
Mystic
Zip
06355-2809
Phone Number
860-536-4383
Fax Number
860-536-2873
Mystic, CT 06355Get directions →

Provider Business Mailing Address Details

Address
12 Roosevelt Ave
Mystic, CT 06355-2809
City
Mystic
State
CT
Zip
06355-2809

License Information

License Number (1)
00664
License State (1)
CT
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
RO39293-1
License State (2)
NY
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Mystic, CT

View all Social Worker, Clinical providers in Mystic →

Frequently Asked Questions

What is the NPI number of Anne Rivers, LCSW?

The NPI number of Anne Rivers, LCSW is 1174853691. It was assigned on January 6, 2010 and is currently active in the NPPES registry.

What is the specialty of Anne Rivers, LCSW?

Anne Rivers, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 00664.

Where does Anne Rivers, LCSW practice?

The practice location is 12 Roosevelt Ave, Suite 203, Mystic, CT 06355-2809. The office can be reached at 860-536-4383 (phone) or 860-536-2873 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174853691 directly on the NPPES registry website.

Browse related providers