IAN HUGH ADON RIVERA (LCSW, MCAP) – Clinical Social Worker, NPI 1164061040
Clinical Social Worker
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,374 CLINICAL SOCIAL WORKER in FL
Provider Addresses for IAN HUGH ADON RIVERA (LCSW, MCAP)
12745 LEMON PEPPER DR
RIVERVIEW, FL 335787585
Phone: (414) 312-1010
Type: Mailing
1047 E BRANDON BLVD
BRANDON, FL 335115515
Phone: (414) 312-1010
Type: Location
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.
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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: 2023-08-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200506001777 | I | Clinical Social Worker | FL | TBD |
| I20210329000588 | I | Clinical Social Worker | AL | TBD |
| I20221205001187 | I | Clinical Social Worker | WI | TBD |
| I20221209000119 | I | Clinical Social Worker | NC | TBD |
| I20230106000194 | I | Clinical Social Worker | VA | TBD |
| I20230502002675 | I | Clinical Social Worker | AZ | TBD |
| I20230526000798 | I | Clinical Social Worker | MT | TBD |
| I20230526001014 | I | Clinical Social Worker | WA | TBD |
| I20230823002646 | I | Clinical Social Worker | TN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 71 | 25 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 16 | 16 | $0 |
Insurance plans in this area (ZIP 33578)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | KS | |
| Clinical Psychologist | AZ | |
| Clinical Social Worker | IN | |
| Clinical Psychologist | PA | |
| Marriage And Family Therapist | WA | |
| Clinical Psychologist | RI | |
| Clinical Social Worker | MI | |
| Marriage And Family Therapist | WA | |
| Clinical Social Worker | WA | |
| Clinical Social Worker | IN |
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