Raven Waterman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

073308 Issued in NY

Practice address

1767 Central Park Ave # 161
Yonkers, NY 10710-2828

Phone

(914) 979-1544

NPI assigned

Dec 5, 2006

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 15, 2024 through Mar 15, 2028

Medicare enrollment (NPD)

Not 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.

• RW LCSW Psychotherapy PLLC

  • Clinical Social Worker
  • Yonkers, NY
  • NPI 1720743701
  NPD Authorized official
• United Cerebral Palsy

  • Developmental Disabilities Clinic/Center
  • Bronx, NY
  • NPI 1104997485
  NPD (past)
• United Cerebral Palsy of New York City Inc

  • Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1730302019

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1992863294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 CENTRAL PARK AVE # 161",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107102828",
            "telephone_number": "914-979-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 CENTRAL PARK AVE # 161",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107102828",
            "telephone_number": "914-979-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "RAVEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warby Parker Inc.
• Weston Wightman Ward, MD
• Tanya R Warner, LPN
• Jeffrey P. Warshay, O.D.
• Waterbed Access, Inc.
• Alyssa Marie Watkis, MS
• Stacey-Ann Watson, LMSW
• Susan Taylor Watson, LCSW
• Wave NP in Psychiatry PLLC
• Veraline Wayland

• Clinical Social Worker in Yonkers, NY
• Providers in Yonkers, 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 Sep 15, 2019; 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.

Verify at the official NPI Registry.