IndividualActive
Rene Rivera, LCSW-R
NPI 1669723375 · Clinical Social Worker · Jackson Heights, NY
Provider details
- NPI number
- 1669723375
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW-R
- Sex
- Male
- Sole proprietor
- No
- License
- 084687 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3708 91st St Ste 300
Jackson Heights, NY 11372-7961
Phone: (718) 779-2263
Fax: (718) 277-0822
Street-level locationGet directions
Mailing address
50 W Sunrise Hwy # 1077
Valley Stream, NY 11581-1104
Registry dates
- Enumerated
- 2012-09-21
- Last updated
- 2022-10-04
- Certified
- 2022-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.