MARISOL RIVERA – Clinical Social Worker, NPI 1043417058

MARISOL RIVERA is a healthcare provider. based in Greenwich, Connecticut. specializing in CLINICAL SOCIAL WORKER. The NPI Number for MARISOL RIVERA is 1043417058

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MARISOL RIVERA
NPI
1043417058
Phone
(203) 629-2822
Address
20 BRIDGE ST
Enumeration Date
2 July 2007
Last Update Date
12 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2077965503
Graduation Year
2008 (18 years ago)
PAC ID
4789961178
Group Practice PAC ID
3577524024
Professional Enrollment ID
I20231209000048
Address ID
ME046683344PR136XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:18State licenses:0Digital endpointsOther names

2,153 CLINICAL SOCIAL WORKER in CT

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Provider Addresses for MARISOL RIVERA

  • 20, Bridge Street, Greenwich, Fairfield County, Connecticut, 06830, United States

    GREENWICH, CT 068305238

    Phone: (203) 629-2822

    Fax: (203) 629-2940

    Type: Mailing

  • 136 MILL ST

    PRINCETON, ME 046683344

    Phone: (207) 796-5503

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170512001343IClinical Social WorkerNYTBD
I20231209000048IClinical Social WorkerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06830)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577524024View full group profile
NameSpecialtyState
Nurse PractitionerME
Nuclear Medicine, General PracticeVT
Nurse PractitionerME
P S Y C H I A T R YME
Clinical Social WorkerTX
Nurse PractitionerME
Nurse PractitionerME
O P T O M E T R YME
Clinical Social WorkerME
Clinical Social WorkerME

Reviews

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Frequently asked questions

How do I look up MARISOL RIVERA by NPI?
Use NPI 1043417058 when you need to reference MARISOL RIVERA in forms, claims, or directories.
Does this profile mean MARISOL RIVERA is currently active?
Yes — MARISOL RIVERA appears active in the national provider directory.
Does MARISOL RIVERA list a primary specialty?
If you are matching referrals, note Clinical Social Worker for MARISOL RIVERA. Clinical services aligned with this taxonomy classification.
Does MARISOL RIVERA practice in Connecticut?
You will see Greenwich, Connecticut on file for MARISOL RIVERA alongside any extra practice locations.
What if Greenwich, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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