Individual provider Active NPI

Stephanie Ann I Vivona Rafanelli, LMSW, CSW

  • Social Worker
  • Westbury, NY
National Provider Identifier
1003061482
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
054120-1 Issued in NY
Practice address
27 Pilgrim LN
Westbury, NY 11590-6216
Phone
(516) 312-8415
NPI assigned
Nov 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 054120-1 NY Primary

Addresses

Primary practice location

27 Pilgrim LN
Westbury, NY 11590-6216

Mailing address

27 Pilgrim LN
Westbury, NY 11590-6216
Phone (516) 312-8415

Other names 1

  • Miss Stephanie Ann I Vivona Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
054120-1NYMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1003061482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PILGRIM LN",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906216",
            "telephone_number": "516-312-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PILGRIM LN",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906216",
            "telephone_number": "516-312-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVONA RAFANELLI",
        "first_name": "STEPHANIE ANN",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "LMSW, CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "054120-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE ANN",
            "last_name": "VIVONA",
            "middle_name": "I",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.