Individual provider Active NPI

Fumi Matsuki Raith, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1215967195
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R031196 Issued in NY
Practice address
253 South St
New York, NY 10002-7827
Phone
(212) 720-4540
Fax
(212) 732-9297
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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 R031196 NY Primary

Addresses

Primary practice location

253 South St
New York, NY 10002-7827

Mailing address

253 South St
New York, NY 10002-7827
Phone (212) 720-4540

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
I20120727000270 NY Practitioner - Clinical Social Worker 7315103876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R031196NYMDClinical Social Worker
031196NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Madison House, Inc CurrentSince May 29, 2012 Accepting new patients
Clinical Psychassociates LLP PastSince May 29, 2012 Accepting new patients

Locations

253 South St
New York, NY 10002
Phone (212) 720-4540

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1215967195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 SOUTH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027827",
            "telephone_number": "212-720-4540",
            "fax_number": "212-732-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 SOUTH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027827",
            "telephone_number": "212-720-4540",
            "fax_number": "212-732-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAITH",
        "first_name": "FUMI",
        "middle_name": "MATSUKI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R031196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.