Active NPI
Saul D. Raw, M.S.W
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1184775686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR013692-1
- Practice address
- 133 Lincoln PL
Brooklyn, NY 11217-3605 - Phone
- (718) 638-9526
- Fax
- (718) 622-2678
- NPI assigned
- Jan 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR013692-1 | NY | Primary |
| Clinical Social Worker | 1041C0700X | SC 00970 | NJ |
Addresses
Primary practice location
133 Lincoln PL
Brooklyn, NY 11217-3605
Mailing address
133 Lincoln PL
Brooklyn, NY 11217-3605
Phone (718) 638-9526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC 00970 | NJ | MD | Clinical Social Worker |
| PR013692-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184775686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 LINCOLN PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112173605",
"telephone_number": "718-638-9526",
"fax_number": "718-622-2678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 LINCOLN PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112173605",
"telephone_number": "718-638-9526",
"fax_number": "718-622-2678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAW",
"first_name": "SAUL",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "M.S.W",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR013692-1",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "SC 00970",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.