Individual provider Active NPI

Christopher Thomas Rafalko, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1578773057
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2209-C Issued in NV
Practice address
800 S Valley View Blvd
Las Vegas, NV 89107-4411
Phone
(702) 252-8342
Fax
(702) 252-8349
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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 2209-C NV Primary

Addresses

Primary practice location

800 S Valley View Blvd
Las Vegas, NV 89107-4411

Mailing address

3613 Embassy LN
Fairfax, VA 22030-1820
Phone (703) 383-1224

Other names 1

  • Mr. Kit Thomas Rafalko Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2209-CNVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1578773057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 EMBASSY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301820",
            "telephone_number": "703-383-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S VALLEY VIEW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891074411",
            "telephone_number": "702-252-8342",
            "fax_number": "702-252-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFALKO",
        "first_name": "CHRISTOPHER",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "2209-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIT",
            "last_name": "RAFALKO",
            "middle_name": "THOMAS",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.