Active NPI
Raphael Ben-Yehuda, LCSW-R
- Clinical Social Worker
- New York, NY
National Provider Identifier
1871847830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 083871-R
- Practice address
- 150 W 28TH St Ste 1901
New York, NY 10001-6179 - Phone
- (646) 419-4778
- NPI assigned
- Oct 30, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 083871-1 | NY | |
| Clinical Social Worker | 1041C0700X | 086954-1 | NY | |
| Clinical Social Worker | 1041C0700X | 083871-R | NY | Primary |
Addresses
Primary practice location
150 W 28TH St Ste 1901
New York, NY 10001-6179
Mailing address
1270 5TH Ave Apt 12H
New York, NY 10029-3427
Phone (646) 419-4778
Other practice location 1
1 Gustave L. Levy Place
Dept. of Social Work, Mount Sinai Hospital
New York, NY 10029-6574
Phone (212) 241-3718
Other practice location 2
115 W 27th St Fl 4
New York, NY 10001-6217
Phone (212) 627-8181 ext. 371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083871-1 | NY | MD | Clinical Social Worker |
| 083871-R | NY | MD | Clinical Social Worker |
| 086954-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1871847830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 5TH AVE APT 12H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100293427",
"telephone_number": "646-419-4778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W 28TH ST STE 1901",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016179",
"telephone_number": "646-419-4778"
}
],
"practiceLocations": [
{
"address_1": "1 Gustave L. Levy Place",
"address_2": "Dept. of Social Work, Mount Sinai Hospital",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296574",
"country_code": "US",
"telephone_number": "212-241-3718",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 W 27th St Fl 4",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100016217",
"country_code": "US",
"telephone_number": "212-627-8181 x371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEN-YEHUDA",
"first_name": "RAPHAEL",
"name_prefix": "Mr.",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-30",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "083871-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "086954-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "083871-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.