Provider Demographics
NPI:1013337419
Name:RIVERA, SARA VERONICA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:VERONICA
Last Name:RIVERA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:VERONICA
Other - Last Name:SINGLETON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:108 FORDHAM RD
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-1431
Mailing Address - Country:US
Mailing Address - Phone:917-569-8261
Mailing Address - Fax:
Practice Address - Street 1:108 FORDHAM RD
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-1431
Practice Address - Country:US
Practice Address - Phone:917-569-8261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72087436104100000X
MO008457104100000X
IL149.0221691041C0700X
KS50241041C0700X
WI9662-1231041C0700X
NJ44SCO64907001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker