Provider Demographics
NPI:1295059681
Name:RIVERS, STEVEN (LCSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:RIVERS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-2636
Mailing Address - Country:US
Mailing Address - Phone:914-552-1200
Mailing Address - Fax:845-358-9155
Practice Address - Street 1:20 N BROADWAY
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-2636
Practice Address - Country:US
Practice Address - Phone:914-552-1200
Practice Address - Fax:845-358-9155
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11646101YA0400X
NY0695461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)