Individual provider Active NPI

Bonni Raab, LCSW

  • Clinical Social Worker
  • Pomona, NY
National Provider Identifier
1275535023
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
014543-R Issued in NY
Practice address
978 Route 45
Suite 200
Pomona, NY 10970-3565
Phone
(845) 364-9422
Fax
(845) 364-9422
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 014543-R NY Primary

Addresses

Primary practice location

978 Route 45
Suite 200
Pomona, NY 10970-3565

Mailing address

978 Route 45
Suite 200
Pomona, NY 10970-3565
Phone (845) 364-9422

Other identifiers 3

IdentifierTypeStateIssuer
205095OtherNYUNITED BEHAVIORAL HEALTH
DR8999OtherNYOXFORD
7492802OtherNYGHI & VALUE OPTIONS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
014543-RNYMDClinical Social Worker
014543NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vicalex Behavioral Health LCSW Services, P.C. Clinical PastSince Aug 1, 2002 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275535023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 ROUTE 45",
            "address_2": "SUITE 200",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703565",
            "telephone_number": "845-364-9422",
            "fax_number": "845-364-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 ROUTE 45",
            "address_2": "SUITE 200",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703565",
            "telephone_number": "845-364-9422",
            "fax_number": "845-364-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAAB",
        "first_name": "BONNI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "014543-R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "205095",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "DR8999",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI & VALUE  OPTIONS",
            "identifier": "7492802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.