Individual provider Active NPI

Denise Lynn Rabidoux, LMSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1992993315
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087938 Issued in NY
Practice address
116 W 23Rd St Ste 143a
New York, NY 10011-2599
Phone
(914) 552-3430
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 087938 NY Primary

Addresses

Primary practice location

116 W 23Rd St Ste 143a
New York, NY 10011-2599

Mailing address

116 W 23Rd St Ste 143a
New York, NY 10011-2599
Phone (914) 552-3430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1992993315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W 23RD ST STE 143A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112599",
            "telephone_number": "914-552-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W 23RD ST STE 143A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112599",
            "telephone_number": "914-552-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIDOUX",
        "first_name": "DENISE",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.