Individual provider Active NPI

Deborah Raptopoulos, MSW, LICSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1154526911
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1017995 Issued in MA
Practice address
404 Beacon St
Apt 2
Boston, MA 02115-1111
Phone
(617) 739-9363
Fax
(617) 232-1889
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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 1017995 MA Primary

Addresses

Primary practice location

404 Beacon St
Apt 2
Boston, MA 02115-1111

Mailing address

404 Beacon St
Apt 2
Boston, MA 02115-1111
Phone (617) 739-9363

Other identifiers 1

IdentifierTypeStateIssuer
1853872MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1154526911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 BEACON ST",
            "address_2": "APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151111",
            "telephone_number": "617-739-9363",
            "fax_number": "617-232-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BEACON ST",
            "address_2": "APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151111",
            "telephone_number": "617-739-9363",
            "fax_number": "617-232-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPTOPOULOS",
        "first_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1017995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1853872",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.