Individual provider Active NPI

Gracie Rifino, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1962920686
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
103172 Issued in NY
Practice address
590 Flatbush Avenue #14S
Brooklyn, NY 11225-4994
Phone
(917) 722-2392
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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 103172 NY Primary

Addresses

Primary practice location

590 Flatbush Avenue #14S
Brooklyn, NY 11225-4994

Mailing address

590 Flatbush Avenue #14S
Brooklyn, NY 11225-4994
Phone (917) 722-2392

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103172NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liberation-Based Therapy LCSW PLLC CurrentSince Mar 20, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1962920686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 FLATBUSH AVENUE #14S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254994",
            "telephone_number": "917-722-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 FLATBUSH AVENUE #14S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254994",
            "telephone_number": "917-722-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFINO",
        "first_name": "GRACIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.