Individual provider Active NPI

Randy Lee Braff, LCSW-R

  • Clinical Social Worker
  • Hicksville, NY
National Provider Identifier
1649369745
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R047818-1 Issued in NY
Practice address
28 E Old Country Rd
Hicksville, NY 11801-4292
Phone
(631) 827-8387
NPI assigned
Oct 12, 2006
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 R047818-1 NY Primary

Addresses

Primary practice location

28 E Old Country Rd
Hicksville, NY 11801-4292

Mailing address

28 E Old Country Rd
Hicksville, NY 11801-4292
Phone (631) 827-8387

Other practice location 1

31 Oak St
Patchogue, NY 11772-2841
Phone (631) 827-8387

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
I20070727000226 NY Practitioner - Clinical Social Worker 6507967056 Reassigns benefits to 1 organization
Practice locations: Patchogue, NY; Wantagh, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2079 Wantagh Ave
Suite 1C
Wantagh, NY 11793-3924
Phone (631) 827-8387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R047818-1NYMDClinical Social Worker
047818NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Randy Braff, LCSW, PC CurrentSince Aug 22, 2025 Accepting new patients
Stony Brook Family and Preventive Medicine, University Faculty Practic PastSince Nov 15, 2016 Accepting new patients

Locations

120 E Main St
Ste 6
Patchogue, NY 11772
Phone (631) 827-8387

2079 Wantagh Ave
Ste 1C
Wantagh, NY 11793
Phone (631) 827-8387

Organizations & group practices 2

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1649369745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 E OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014292",
            "telephone_number": "631-827-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014292",
            "telephone_number": "631-827-8387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Oak St",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117722841",
            "country_code": "US",
            "telephone_number": "631-827-8387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAFF",
        "first_name": "RANDY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R047818-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.