Provider Demographics
NPI:1881719433
Name:RIVAS, CINDY ESMERALDA (LCSW)
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:ESMERALDA
Last Name:RIVAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9040 TELEGRAPH RD STE 307
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-2399
Mailing Address - Country:US
Mailing Address - Phone:323-351-0411
Mailing Address - Fax:
Practice Address - Street 1:9040 TELEGRAPH RD STE 307
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-2399
Practice Address - Country:US
Practice Address - Phone:323-351-0411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW606281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA01605808Medicare UPIN