Individual provider Active NPI

Raul Figueroa, LCSW

  • Clinical Social Worker
  • Far Rockaway, NY
National Provider Identifier
1083778088
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073297-1 Issued in NY
Practice address
2520 Seagirt Ave
#1
Far Rockaway, NY 11691-2222
Phone
(347) 291-3882
NPI assigned
Dec 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 073297-1 NY Primary

Addresses

Primary practice location

2520 Seagirt Ave
#1
Far Rockaway, NY 11691-2222

Mailing address

2520 Seagirt Ave
#1
Far Rockaway, NY 11691-2222
Phone (347) 291-3882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000369 NY Practitioner - Clinical Social Worker 1850301839 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073297-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Psychotherapy LCSW Services PC Clinical CurrentSince Sep 1, 2022 Accepting new patients
Federation Employment and Guidance Service, Inc Past Accepting new patients
LCSW Evaluations and Clinical Social Work, P.C. Clinical PastSince May 30, 2011 Accepting new patients
Benitez Medical Professional PC Past Accepting new patients

Locations

111 Dahlgren Pl
Bsmt
Brooklyn, NY 11228
Phone (718) 437-5570

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083778088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SEAGIRT AVE",
            "address_2": "#1",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912222",
            "telephone_number": "347-291-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SEAGIRT AVE",
            "address_2": "#1",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912222",
            "telephone_number": "347-291-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "RAUL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073297-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.