Provider Demographics
NPI:1487539110
Name:RIVERA, CINDY (MSW, ACSW)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:RIVERA
Suffix:
Gender:F
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14429 CONDON AVE
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-1308
Mailing Address - Country:US
Mailing Address - Phone:310-676-6140
Mailing Address - Fax:
Practice Address - Street 1:14429 CONDON AVE
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-1308
Practice Address - Country:US
Practice Address - Phone:310-676-6140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA988111041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool