Individual provider Active NPI

Christy N Ratajczak, LCSWR

  • Clinical Social Worker
  • Alden, NY
National Provider Identifier
1770716102
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R084041-01 Issued in NY
Practice address
13500 Broadway St
Alden, NY 14004-1466
Phone
(716) 930-6406
NPI assigned
Sep 2, 2009
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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 R084041-01 NY Primary

Addresses

Primary practice location

13500 Broadway St
Alden, NY 14004-1466

Mailing address

1445 Church Rd
Darien Center, NY 14040-9610
Phone (716) 930-6406

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
I20220321000498 NY Practitioner - Clinical Social Worker 4587059084 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R084041-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christy N. Ratajczak, LCSW P.C. Clinical CurrentSince Mar 10, 2022 Accepting new patients

Locations

13500 Broadway St
Alden, NY 14004
Phone (716) 320-3220

13500 Broadway St
Ofc F
Alden, NY 14004
Phone (716) 930-6406

Organizations & group practices 1

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": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1770716102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 CHURCH RD",
            "city": "DARIEN CENTER",
            "state": "NY",
            "postal_code": "140409610",
            "telephone_number": "716-930-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041466",
            "telephone_number": "716-930-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATAJCZAK",
        "first_name": "CHRISTY",
        "middle_name": "N",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R084041-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alden, NY

Sources for this page

Verify at the official NPI Registry.