Matthew Raffaele, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080661 Issued in NY

Practice address

170 Little East Neck Rd
2
West Babylon, NY 11704-7742

Phone

(516) 993-3688

Fax

(631) 328-3162

NPI assigned

May 27, 2009

Last updated

Oct 11, 2015By the provider in NPPES

Sex

Male

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 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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunrise Counseling Center,LTD

  • Clinical Social Worker
  • East Islip, NY
  • NPI 1407871353
  Medicare reassignment NPD
• Matthew Daniel Raffaele LCSW PC

  • Clinical Social Worker
  • West Babylon, NY
  • NPI 1063849347
  Authorized official Same address or phone

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444521600000",
    "number": "1568697050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ALICE RD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952903",
            "telephone_number": "516-993-3688",
            "fax_number": "631-328-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 LITTLE EAST NECK RD",
            "address_2": "2",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047742",
            "telephone_number": "516-993-3688",
            "fax_number": "631-328-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFAELE",
        "first_name": "MATTHEW",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2015-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Serenity Acupuncture Wellness PLLC
• Annette D Pusey
• Kaylin Marie Quigley
• R Replogle and F Dittmar PTR
• Juliana Radulski
• Michael Anthony Raio Jr., D.O.
• James Ramos Ortiz, D.M.D
• Francesca Michelle Ramos, RN, PMHNP
• Ashmini Razack
• Danielle Marie Read, PA-C

• Clinical Social Worker in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.