MS. ALYSSA RAINE LMSW
NPI 1033701644
Social Worker in Ballston Spa, NY

Q: What is Alyssa Raine's NPI number?

The NPI number for Alyssa Raine is 1033701644. It was assigned to this individual provider in the NPPES registry on February 4, 2021. The provider is also known as Mrs. Alyssa O'brien.

Q: What is Alyssa Raine's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Raine was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 04, 2021PECOS Enrolled

200 WOOD RD, BALLSTON SPA, NY 12020(518) 884-7210 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2023, Oct 12, 2022, Sep 7, 2021 and 1 more (4 updates tracked since 2021).

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About Ms. Alyssa Raine Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ALYSSA RAINE LMSW (NPI 1033701644) is an individual social worker in Ballston Spa, New York, licensed in New York (111498) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2019).

NPPES Registry Identity

NPI1033701644

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. ALYSSA RAINECredential: LMSW

Location Address200 WOOD RDBallston Spa, NY 12020-2245

Mailing Address20 Pine StNew York, NY 10005-1404

Phone(518) 884-7210

Sole ProprietorNo

Medical School CMSFordham University School Of MedicineGraduated 2019

Enumeration DateFebruary 4, 2021

Last NPPES UpdateMay 8, 20234 updates tracked since enumeration

NPPES CertifiedMay 8, 2023

✔ NPI 1033701644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 111498

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

200 WOOD RD, Ballston Spa, NY 12020

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Other Names 1

Other Name (5)Mrs. Alyssa O'brien

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Alyssa Raine Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486145513

PECOS Enrollment IDI20251117001091

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MILO MARNES LMSW

Social Worker (School)