Active NPI
Abdelrazaq Rababah, LICSW
- Clinical Social Worker
- Brattleboro, VT
National Provider Identifier
1891459319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0890134392
- Practice address
- 229 Western Ave
Brattleboro, VT 05301-6589 - Phone
- (802) 251-5050
- NPI assigned
- Oct 30, 2021
- Last updated
- Oct 30, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 0890134392 | VT | Primary |
Addresses
Primary practice location
229 Western Ave
Brattleboro, VT 05301-6589
Mailing address
229 Western Ave
Brattleboro, VT 05301-6589
Phone (802) 251-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 16, 2025 through Sep 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0890134392 | VT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635552000000",
"number": "1891459319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 WESTERN AVE",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053016589",
"telephone_number": "802-251-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 WESTERN AVE",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053016589",
"telephone_number": "802-251-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABABAH",
"first_name": "ABDELRAZAQ",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-30",
"last_updated": "2021-10-30",
"certification_date": "2021-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "0890134392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.