Individual provider Active NPI

Michael Sean Rafter, CSW

  • Social Worker
  • Asbury Park, NJ
National Provider Identifier
1992897094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SW00942700 Issued in NJ
Practice address
1011 Bond St
Asbury Park, NJ 07712-5939
Phone
(732) 869-2765
Fax
(732) 897-9541
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SW00942700 NJ Primary

Addresses

Primary practice location

1011 Bond St
Asbury Park, NJ 07712-5939

Mailing address

1011 Bond St
Asbury Park, NJ 07712-5939
Phone (732) 869-2765

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
44SW00942700NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992897094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BOND ST",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125939",
            "telephone_number": "732-869-2765",
            "fax_number": "732-897-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOND ST",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125939",
            "telephone_number": "732-869-2765",
            "fax_number": "732-897-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFTER",
        "first_name": "MICHAEL",
        "middle_name": "SEAN",
        "name_prefix": "Mr.",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SW00942700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asbury Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.