Individual provider Active NPI

Claire Ralli

  • Clinical Social Worker
  • Clifton Park, NY
National Provider Identifier
1427487651
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085083 Issued in NY
Practice address
3 Crossing Blvd Ste 1
Clifton Park, NY 12065-4172
Phone
(518) 831-4434
Fax
(518) 831-4435
NPI assigned
Nov 7, 2013
Last updated
May 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW11560 FL
Clinical Social Worker 1041C0700X 085083 NY Primary

Addresses

Primary practice location

3 Crossing Blvd Ste 1
Clifton Park, NY 12065-4172

Mailing address

350 7TH St N
Naples, FL 34102-5754
Phone (239) 624-3865

Other practice location 1

1700 Riverfront Ctr
Amsterdam, NY 12010-4620
Phone (518) 843-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20190910000502 NY Practitioner - Clinical Social Worker 5698097053

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085083NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Avow Hospice Inc CurrentSince Mar 12, 2023 Accepting new patients

Locations

1095 Whippoorwill Ln
Naples, FL 34105
Phone (236) 261-5786

1205 Whippoorwill Ln
Naples, FL 34105
Phone (239) 261-4404

Interoperability endpoints

  • Direct secure messaging: claire.ralli@532070890209284.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1427487651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "239-624-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CROSSING BLVD STE 1",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654172",
            "telephone_number": "518-831-4434",
            "fax_number": "518-831-4435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Riverfront Ctr",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120104620",
            "country_code": "US",
            "telephone_number": "518-843-0020",
            "fax_number": "518-843-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RALLI",
        "first_name": "CLAIRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11560",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.