Raquel Fedebagha, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084538-1 Issued in NY

Practice address

1 Fordham PLZ
5 FL
Bronx, NY 10458-5871

Phone

(929) 220-8425

NPI assigned

Oct 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment NPD
• Montefiore Medical Center

  dba Montefiore Community Pharmacy @ CHAM

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1902180177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E MOSHOLU PKWY N",
            "address_2": "4A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672904",
            "telephone_number": "646-571-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FORDHAM PLZ",
            "address_2": "5 FL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585871",
            "telephone_number": "929-220-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDEBAGHA",
        "first_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084538-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Feay, MA, CHES
• Eva Febus, LCSW
• Roger Alan Fecher, MD
• Fedcap Rehabilitation Services, Inc.
• Fedcap Rehabilitation Services, Inc.
• Ann Judith Feder, LCSW
• Federation Employment and Guidance Service, Inc (FEGS Health and Human Services)
• Federation Employment and Guidance Service, Inc (FEGS Health and Human Services)
• Federation Empoyment and Guidance Service, Inc. (FEGS Health and Human Services)
• Kristin Marie Fedor, PHARMD

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.

Verify at the official NPI Registry.