Jacqueline Raffaele, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086056 Issued in NY

Practice address

3375 Park Ave Ste 4001
Wantagh, NY 11793

Phone

(516) 330-1186

NPI assigned

Jun 27, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jacqueline Raffaele, LCSW, PC

  • Clinical Social Worker
  • East Northport, NY
  • NPI 1104663939
  Medicare reassignment NPD Authorized official
• Daniel Raffaele LCSW PC

  • Clinical Social Worker
  • Massapequa, NY
  • NPI 1093107468
  NPD (past)

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1396009189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 PARK AVE STE 4001",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933799",
            "telephone_number": "516-330-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 PARK AVE STE 4001",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "11793",
            "telephone_number": "516-330-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFAELE",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Genova Pyle, LCSW
• Queens Neighborhood NP in Family and Womens Health Care PLLC
• Karen Quinn
• Julia Raber, M.D.
• Louise D. Radzicki, MA, CCC-SLP
• James A Ragusano, DPT
• Lisa A Randazzo, L.M.S.W.
• Randy Braff, LCSW, PC
• Eva Raparia, MD
• Stephen Bruce Rashkin, PH.D

• Clinical Social Worker in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.