Individual provider Active NPI

Emmalee A Rainey, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1073265674
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
114928 Issued in NY
Practice address
239 E 120TH St Apt 2B
New York, NY 10035-3013
Phone
(973) 294-8580
NPI assigned
Jan 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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 114928 NY Primary

Addresses

Primary practice location

239 E 120TH St Apt 2B
New York, NY 10035-3013

Mailing address

239 E 120TH St Apt 2B
New York, NY 10035-3013
Phone (601) 594-6669

Other identifiers 1

IdentifierTypeStateIssuer
114928OtherNYSOCIAL WORK LICENSE #

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://democracyprep.zoom.us/j/2355321490 Direct

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
114928NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1073265674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 E 120TH ST APT 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353013",
            "telephone_number": "601-594-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 E 120TH ST APT 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353013",
            "telephone_number": "973-294-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "EMMALEE",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "114928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE #",
            "identifier": "114928",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://democracyprep.zoom.us/j/2355321490",
            "affiliation": "N",
            "endpointDescription": "zoom account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "239 E 120th St Apt 2B",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100353013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.