Provider Demographics
NPI:1154087054
Name:RIVERA-CASE, ERIN KATHALEEN (CADC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:KATHALEEN
Last Name:RIVERA-CASE
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:KATHLEEN
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1409 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-1916
Mailing Address - Country:US
Mailing Address - Phone:515-643-6527
Mailing Address - Fax:515-643-6555
Practice Address - Street 1:1409 CLARK ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-1916
Practice Address - Country:US
Practice Address - Phone:515-643-6527
Practice Address - Fax:515-643-6555
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)