Individual provider Active NPI

Raffi Bilek, LCSW-C

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1932543923
Registry record updated Jan 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05651500 Issued in NJ
Practice address
103 Old Court Rd Ste a
Baltimore, MD 21208-4002
Phone
(443) 598-2821
NPI assigned
Apr 22, 2013
Last updated
Jan 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05651500 NJ Primary

Addresses

Primary practice location

103 Old Court Rd Ste a
Baltimore, MD 21208-4002

Mailing address

2701 Hanson Ave
Baltimore, MD 21209-3910
Phone (443) 273-4046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 7, 2023 through Dec 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL05651500NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Baltimore Therapy Center, LLC CurrentSince Jan 17, 2022 Accepting new patients

Locations

103 Old Court Rd
Ste A
Baltimore, MD 21208
Phone (443) 598-2821

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1932543923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 HANSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093910",
            "telephone_number": "443-273-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 OLD COURT RD STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084002",
            "telephone_number": "443-598-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILEK",
        "first_name": "RAFFI",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2022-01-02",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05651500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.