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:PO BOX 740021
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-0021
Mailing Address - Country:US
Mailing Address - Phone:312-733-9730
Mailing Address - Fax:
Practice Address - Street 1:394 BROADWAY STE 100
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-1932
Practice Address - Country:US
Practice Address - Phone:973-572-1035
Practice Address - Fax:973-547-7872
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2025-07-14
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