Dara R Raboy, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R044255 Issued in NY

Practice address

3619 Lyndale Dr
Endicott, NY 13760-2439

Phone

(607) 621-2068

NPI assigned

May 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1144894908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 LYNDALE DR",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137602439",
            "telephone_number": "607-621-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 LYNDALE DR",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137602439",
            "telephone_number": "607-621-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABOY",
        "first_name": "DARA",
        "middle_name": "R",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R044255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS BOARD",
            "identifier": "R024255",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.betterhelp.com/helpme/?utm_source=AdWords&utm_medium=Search_PPC_c&utm_term=better+health",
            "affiliation": "N",
            "endpointDescription": "Company",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "990 Villa St",
            "city": "Mountain View",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940411236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "betterhelp.com",
            "affiliation": "N",
            "endpointDescription": "Company",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "990 Villa St",
            "city": "Mountain View",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940411236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Premise Health of New York Medical, P.C
• Janette Granholm Prentice, LCSW
• Arthur J Price II, MSN CRNP-BC
• Sury M Putcha, M.D.
• Louise A Quidort, LCSW
• Brett Joseph Radford-Proctor
• Guillermo E Ramos Sr., DDS
• Rachel Eryn Rappaport, M.S., LMHC
• Ayah Rashwan
• Nathan Reynolds

• Clinical Social Worker in Endicott, NY
• Providers in Endicott, 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 May 17, 2021; 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.