Organization Active NPI

RW LCSW Psychotherapy PLLC

  • Clinical Social Worker
  • Yonkers, NY
National Provider Identifier
1720743701
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RW LCSW PSYCHOTHERAPY PLLC
Practice address
15 May St
Yonkers, NY 10710-3904
Phone
(973) 216-4460
NPI assigned
Nov 3, 2021
Last updated
Nov 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Raven Waterman, LCSW-RNPI 1992863294
Title
Owner/ Clinician
Phone
(914) 979-1544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

15 May St
Yonkers, NY 10710-3904

Mailing address

1767 Central Park Ave # 161
Yonkers, NY 10710-2828
Phone (914) 979-1544

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rw@ravenswingsllc.com Direct

National Provider Directory

National Provider Directory

Locations

1767 Central Park Ave
#161
Yonkers, NY 10710
Phone (914) 257-3873

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1720743701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 CENTRAL PARK AVE # 161",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107102828",
            "telephone_number": "914-979-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAY ST",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107103904",
            "telephone_number": "973-216-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RW LCSW PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_title_or_position": "OWNER/ CLINICIAN",
        "authorized_official_telephone_number": "914-979-1544",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rw@ravenswingsllc.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1767 Central Park Ave # 161",
            "city": "Yonkers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107102828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.