Active NPI
Harley Damarputra
- Clinical Social Worker
- Rockaway Beach, NY
National Provider Identifier
1467239277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 128824-01
- Practice address
- 8802 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1609 - Phone
- (718) 634-3461
- NPI assigned
- Sep 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 128824-01 | NY | Primary |
Addresses
Primary practice location
8802 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1609
Mailing address
1465 Commonwealth Ave Unit 614
Boston, MA 02135-3638
Phone (857) 400-4117
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128824-01 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1467239277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 COMMONWEALTH AVE UNIT 614",
"city": "BOSTON",
"state": "MA",
"postal_code": "021353638",
"telephone_number": "857-400-4117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8802 ROCKAWAY BEACH BLVD",
"city": "ROCKAWAY BEACH",
"state": "NY",
"postal_code": "116931609",
"telephone_number": "718-634-3461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMARPUTRA",
"first_name": "HARLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-14",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "128824-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockaway Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.