Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Rivadeneyra, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1790242469

Kelly Rivadeneyra, MSW, LCSW is a Clinical Social Worker in San Marcos, California. Qualified in 2017, 9 years ago. Practices with North County Health Project Inc, a 75-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New Jersey.

Years since qualifying
9
Licensed in
CA, NJ
In the registry since
2019
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

150 Valpreda Rd
San Marcos, CA 92069-2973
Phone: (760) 736-6780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 169 Chestnut St, Nutley, NJ 07110-2311 — (973) 667-1884

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 122911 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 44SC05971300 (NJ)

Record details

NPI number1790242469
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedFebruary 28, 2019
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice North County Health Project Inc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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