Individual provider Active NPI

Richard Vincent Ratty, L.C.S.W.- R.

  • Clinical Social Worker
  • Farmingdale, NY
National Provider Identifier
1528142221
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR019808-1 Issued in NY
Practice address
20 Pinetree Dr
Farmingdale, NY 11735-4436
Phone
(516) 293-5564
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 PR019808-1 NY Primary

Addresses

Primary practice location

20 Pinetree Dr
Farmingdale, NY 11735-4436

Mailing address

20 Pinetree Dr
Farmingdale, NY 11735-4436
Phone (516) 293-5564

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080216000069 NY Practitioner - Clinical Social Worker 6901989755 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR019808-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Guidance Counseling & Licensed Clinical Social Work Services PC Clinical CurrentSince May 24, 2011 Accepting new patients

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528142221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PINETREE DR",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354436",
            "telephone_number": "516-293-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PINETREE DR",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354436",
            "telephone_number": "516-293-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTY",
        "first_name": "RICHARD",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.- R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR019808-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

Verify at the official NPI Registry.