IndividualActive
Telly Rivenburgh, LCSW
NPI 1992665863 · Clinical Social Worker · Mesa, AZ
Telly Rivenburgh, LCSW is a Clinical Social Worker provider in Mesa, AZ (NPI 1992665863).
Provider details
- NPI number
- 1992665863
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LCSW23412 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
4864 E Baseline Rd
Mesa, AZ 85206-4629
Phone: (480) 200-7371
Street-level locationGet directions
Mailing address
460 N Mesa Dr Ste 101
Mesa, AZ 85201-5949
Registry dates
- Enumerated
- 2025-11-13
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Frequently asked questions
- What is Telly Rivenburgh's NPI number?
- Telly Rivenburgh's National Provider Identifier (NPI) is 1992665863, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Telly Rivenburgh's specialty?
- Telly Rivenburgh is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Telly Rivenburgh located?
- Telly Rivenburgh's practice location on file with NPPES is 4864 E Baseline Rd, Mesa, AZ 85206-4629.
- What is Telly Rivenburgh's phone number?
- The practice phone number listed in the NPPES registry for Telly Rivenburgh is (480) 200-7371.
- Is Telly Rivenburgh's NPI active?
- Yes — Telly Rivenburgh's NPI (1992665863) is active in the NPPES registry as of the last update on 2025-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.