Individual provider Active NPI

Rosemarie Frances Raimo, LCSW

  • Clinical Social Worker
  • Merrick, NY
National Provider Identifier
1104824622
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R012964-1 Issued in NY
Practice address
31 Merrick Ave Ste 50
Merrick, NY 11566-3406
Phone
(516) 378-5611
NPI assigned
Jul 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 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 R012964-1 NY Primary

Addresses

Primary practice location

31 Merrick Ave Ste 50
Merrick, NY 11566-3406

Mailing address

31 Merrick Ave Ste 50
Merrick, NY 11566-3406
Phone (516) 378-5611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • 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
I20050110000502 NY Practitioner - Clinical Social Worker 1557319233 Practice locations: Merrick, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31 Merrick Ave
Suite 50
Merrick, NY 11566-3406
Phone (516) 378-5611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012964NYMDClinical Psychologist
R012964-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1104824622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MERRICK AVE STE 50",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663406",
            "telephone_number": "516-378-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MERRICK AVE STE 50",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663406",
            "telephone_number": "516-378-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIMO",
        "first_name": "ROSEMARIE",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R012964-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.