Individual provider Active NPI

David Lawrence Rabb, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1710109228
Registry record updated Apr 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R050079-1 Issued in NY
Practice address
80 Eigth Avenue
1108
New York, NY 10011
Phone
(917) 776-0146
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R050079-1 NY Primary
School Social Worker 1041S0200X 1505569 NY

Addresses

Primary practice location

80 Eigth Avenue
1108
New York, NY 10011

Mailing address

3 Stuyvesant Oval
Apt 6D
New York, NY 10009-2128
Phone (917) 776-0146

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
I20101222000236 NY Practitioner - Clinical Social Worker 0648468330 Reassigns benefits to 1 organization
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R050079-1NYMDClinical Social Worker
1505569NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent'S Mental Health Services Past Accepting new patients
St. Vincent'S Services Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492819200000",
    "number": "1710109228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STUYVESANT OVAL",
            "address_2": "APT 6D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100092128",
            "telephone_number": "917-776-0146",
            "fax_number": "212-777-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EIGTH AVENUE",
            "address_2": "1108",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "917-776-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABB",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2017-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R050079-1",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "1505569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.