Active NPI
Lisa Raigeluw
- Clinical Social Worker
- Parrish, FL
National Provider Identifier
1952069379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW19243
- Practice address
- 8610 Mercator CT
Parrish, FL 34219-1833 - Phone
- (808) 938-7047
- NPI assigned
- Dec 2, 2021
- Sex
- Female
- 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 | SW19243 | FL | Primary |
Addresses
Primary practice location
8610 Mercator CT
Parrish, FL 34219-1833
Mailing address
8610 Mercator CT
Parrish, FL 34219-1833
Phone (808) 938-7047
Other practice location 1
8738 Monterey Bay Loop
Bradenton, FL 34212-6318
Phone (808) 938-7047
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 |
|---|---|---|---|
| SW19243 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1952069379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8610 MERCATOR CT",
"city": "PARRISH",
"state": "FL",
"postal_code": "342191833",
"telephone_number": "808-938-7047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8610 MERCATOR CT",
"city": "PARRISH",
"state": "FL",
"postal_code": "342191833",
"telephone_number": "808-938-7047"
}
],
"practiceLocations": [
{
"address_1": "8738 Monterey Bay Loop",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342126318",
"country_code": "US",
"telephone_number": "808-938-7047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAIGELUW",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-02",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW19243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parrish, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.