Genie Bud Ravital, MSS, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW014915 Issued in PA

Practice address

7127 Germantown Ave
Ste 2
Philadelphia, PA 19119-1855

Phone

(267) 977-3008

NPI assigned

Jan 17, 2007

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 PA

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Genie Ravital, LLC

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1336507029
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1437201563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 W ELLET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193428",
            "telephone_number": "267-977-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7127 GERMANTOWN AVE",
            "address_2": "STE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191855",
            "telephone_number": "267-977-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVITAL",
        "first_name": "GENIE",
        "middle_name": "BUD",
        "name_prefix": "Ms.",
        "credential": "MSS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravim Pharmaceuticals
• Krishna Ravindra, MD
• Chitra Ravishankar, M.D.
• Ravital Consulting LLC
• Ameet Ravital, PHD
• Rachel Ravitch
• Hannah Rebecca Ravreby, MD
• David Rawdin, MD
• Ramez Reyad Rawhani, MD
• Veyonna Cyrenthia Rawley, LSW

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.