Individual provider Active NPI

Raymond L Garassino, LCSW

  • Clinical Social Worker
  • Wilton Manors, FL
National Provider Identifier
1356422661
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 6234 Issued in FL
Practice address
1881 NE 26TH St
Suite 232
Wilton Manors, FL 33305-1416
Phone
(954) 358-2177
Fax
(954) 358-2178
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW 6234 FL Primary

Addresses

Primary practice location

1881 NE 26TH St
Suite 232
Wilton Manors, FL 33305-1416

Mailing address

1881 NE 26TH St
Suite 232
Wilton Manors, FL 33305-1416
Phone (954) 358-2177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170919001583 VA Practitioner - Clinical Social Worker 6305745605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling and Psychological Services,LLCGroup PAC ID 3870751126, 6 clinicians

Practice addresses (Care Compare)

1045 Main St
Suite 5
Danville, VA 24541-1800
Phone (434) 792-2277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 6234FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Psychological Services,LLC CurrentSince Sep 1, 2017 Accepting new patients

Locations

1045 Main St
Ste 5
Danville, VA 24541
Phone (434) 792-2277

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356422661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST",
            "address_2": "SUITE 232",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051416",
            "telephone_number": "954-358-2177",
            "fax_number": "954-358-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST",
            "address_2": "SUITE 232",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051416",
            "telephone_number": "954-358-2177",
            "fax_number": "954-358-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARASSINO",
        "first_name": "RAYMOND",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 6234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

Verify at the official NPI Registry.