Aviva Raskin, LCSW, MPH

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

095398 Issued in NY

Practice address

255 W 108TH St
New York, NY 10025-2976

Phone

(650) 451-8975

NPI assigned

Jul 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1104443563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W 108TH ST APT 4C1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252923",
            "telephone_number": "650-451-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W 108TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252976",
            "telephone_number": "650-451-8975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Place",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296574",
            "country_code": "US",
            "telephone_number": "212-241-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASKIN",
        "first_name": "AVIVA",
        "credential": "LCSW, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107317",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Kristine Rashid, MD, PHD
• Omid Rashidipour, M.D.
• Justin Rashtian, MD
• Elhussin M Rashwan
• Michael J Rasiej, M.D.
• Jonathan Marvin Raskin, M.D.
• Marjorie Jane Raskin, M.D.
• Patricia Maier Raskin, PH.D.
• Richard H Raskin, PH.D.
• Maria Raskina, DDS

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Jun 13, 2023; 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.