Active NPI
Denise Raboin, LICSW, CEIS
- Social Worker
- Danvers, MA
National Provider Identifier
1538344015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 101289
- Practice address
- 149 Sylvan St
Danvers, MA 01923-3564 - Phone
- (978) 774-7570
- NPI assigned
- Jan 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 101289 | MA | Primary |
Addresses
Primary practice location
149 Sylvan St
Danvers, MA 01923-3564
Mailing address
20 Juniper Ave
Salem, MA 01970-5723
Phone (978) 744-2336
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 |
|---|---|---|---|
| 101289 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1538344015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 JUNIPER AVE",
"city": "SALEM",
"state": "MA",
"postal_code": "019705723",
"telephone_number": "978-744-2336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 SYLVAN ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019233564",
"telephone_number": "978-774-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABOIN",
"first_name": "DENISE",
"credential": "LICSW, CEIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "101289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.