Individual provider Active NPI

Raquel Maria Warley

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1225890023
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072399-01 Issued in NY
Practice address
1894 Seward Ave
Bronx, NY 10473-2851
Phone
(132) 367-4989
NPI assigned
Jan 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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 072399-01 NY Primary

Addresses

Primary practice location

1894 Seward Ave
Bronx, NY 10473-2851

Mailing address

1894 Seward Ave
Bronx, NY 10473-2851
Phone (132) 367-4989

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
I20240228004298 NY Practitioner - Clinical Social Worker 2961847090 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072399-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychology of Ny PC CurrentSince Feb 1, 2024 Accepting new patients
Comprehensive Counseling LCSW, PLLC Clinical CurrentSince May 28, 2024 Accepting new patients

Locations

2 Main St
Ste 2A
Plymouth, MA 02360

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256

50 Fountain Plz
Ste 1400
Buffalo, NY 14202
Phone (718) 504-9256

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

199 Community Dr
Great Neck, NY 11021
Phone (516) 216-4108

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

1129 Northern Blvd
Ste 404
Manhasset, NY 11030
Phone (516) 305-5531

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

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": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1225890023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 SEWARD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732851",
            "telephone_number": "132-367-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1894 SEWARD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732851",
            "telephone_number": "132-367-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARLEY",
        "first_name": "RAQUEL",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072399-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.