Matthew Daniel Raffaele LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080661 Issued in NY

Legal business name

MATTHEW DANIEL RAFFAELE LCSW PC

Practice address

170 Little East Neck Rd
Suite 2
West Babylon, NY 11704-7742

Phone

(516) 993-3688

NPI assigned

Oct 2, 2013

Organization subpart

No

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

Authorized official

Name

Matthew Raffaele, LCSW

Title

President

Phone

(516) 993-3688

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444521600000",
    "number": "1063849347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ALICE RD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 LITTLE EAST NECK RD",
            "address_2": "SUITE 2",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047742",
            "telephone_number": "516-993-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW DANIEL RAFFAELE LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2015-10-11",
        "status": "A",
        "authorized_official_last_name": "RAFFAELE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-993-3688",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2015; 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.