Active NPI
Christy N Ratajczak, LCSWR
- Clinical Social Worker
- Alden, NY
National Provider Identifier
1770716102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R084041-01
- Practice address
- 13500 Broadway St
Alden, NY 14004-1466 - Phone
- (716) 930-6406
- NPI assigned
- Sep 2, 2009
- Last updated
- Mar 17, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R084041-01 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christy N. Ratajczak, LCSW P.C. | Clinical | Current | 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.
-
- Clinical Social Worker
- Alden, NY
- NPI 1376294637
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.