Active NPI
Christopher Thomas Rafalko, LCSW
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1578773057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2209-C
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2209-C | NV | MD | Clinical 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.