Individual provider Active NPI

Elana Raphael-Tomkins, LCSW

  • Clinical Social Worker
  • Guilford, CT
National Provider Identifier
1235420746
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007616 Issued in CT
Practice address
1575 Boston Post Rd
Guilford, CT 06437-2319
Phone
(203) 623-7306
NPI assigned
May 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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 007616 CT Primary

Addresses

Primary practice location

1575 Boston Post Rd
Guilford, CT 06437-2319

Mailing address

157 Goose LN Ste 6
Guilford, CT 06437-2100
Phone (203) 623-7306

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
007616CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elana Raphael-Tomkins LLC Clinical CurrentSince Nov 22, 2020 Accepting new patients

Locations

157 Goose Ln
Ste 6
Guilford, CT 06437
Phone (203) 623-7306

Organizations & group practices 1

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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1235420746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 GOOSE LN STE 6",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372100",
            "telephone_number": "203-623-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BOSTON POST RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372319",
            "telephone_number": "203-623-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL-TOMKINS",
        "first_name": "ELANA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.