Active NPI
Jordan Raffalli
- Social Worker
- North Andover, MA
National Provider Identifier
1235942038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW2120835
- Practice address
- 800 Turnpike St Ste 201
North Andover, MA 01845-6156 - Phone
- (978) 697-0292
- NPI assigned
- Jan 28, 2025
- Last updated
- Jan 28, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW2120835 | MA | Primary |
Addresses
Primary practice location
800 Turnpike St Ste 201
North Andover, MA 01845-6156
Mailing address
800 Turnpike St Ste 201
North Andover, MA 01845-6156
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 |
|---|---|---|---|
| LCSW2120835 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifeStance Health
- Psychologist
- Norwood, MA
- NPI 1912987181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1235942038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 TURNPIKE ST STE 201",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 TURNPIKE ST STE 201",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018456156",
"telephone_number": "978-697-0292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFFALLI",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-28",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "LCSW2120835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.