Individual provider Active NPI

Saul D. Raw, M.S.W

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1184775686
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR013692-1 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SC 00970NJMDClinical Social Worker
PR013692-1NYMDClinical 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.

Verify at the official NPI Registry.