DEBORAH RAPHAEL LCSW
NPI 1306861117
Social Worker - Clinical in Berkeley, CA

Active since July 13, 2006Opted out of Medicare · through Mar 3, 2028
3555 DWIGHT WAY, BERKELEY, CA 94704(510) 225-5310 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deborah Raphael Lcsw NPPES

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

DEBORAH RAPHAEL LCSW (NPI 1306861117) is an individual clinical provider in Berkeley, California, licensed in California (LCS 6411) and active in the NPI registry since July 2006. She has opted out of Medicare through March 3, 2028.

NPPES Registry Identity

NPI1306861117
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEBORAH RAPHAELCredential: LCSW
Location Address3555 DWIGHT WAYBerkeley, CA 94704-2526
Mailing Address3555 Dwight WayBerkeley, CA 94704-2526 · (510) 225-5310
Sole ProprietorYes
Enumeration DateJuly 13, 2006
Last NPPES UpdateMarch 2, 2022
NPPES CertifiedMarch 2, 2022
NPI 1306861117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCS 6411
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3555 DWIGHT WAY, Berkeley, CA 94704

Other Identifiers 1

Other6411CA · State Of Ca Lcsw License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Deborah Raphael Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 3, 2022 through March 3, 2028.

Opt-Out Effective DateMarch 3, 2022
Opt-Out In Effect ThroughMarch 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deborah Raphael's NPI number?

The NPI number for Deborah Raphael is 1306861117. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Deborah Raphael located?

Deborah Raphael practices at 3555 Dwight Way, Berkeley, CA 94704. The listed phone number is (510) 225-5310.

What is Deborah Raphael's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Deborah Raphael enrolled in Medicare?

No. Deborah Raphael has opted out of Medicare through March 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Deborah Raphael was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.