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MS. JACQUELINE RAFFAELE LCSW
NPI 1396009189
Social Worker - Clinical in Wantagh, NY

Active since June 27, 2012PECOS EnrolledAccepts Medicare Assignment
3375 PARK AVE STE 4001, WANTAGH, NY 11793(516) 330-1186 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Jacqueline Raffaele Lcsw NPPES

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

MS. JACQUELINE RAFFAELE LCSW (NPI 1396009189) is an individual clinical provider in Wantagh, New York, licensed in New York (086056) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1396009189
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JACQUELINE RAFFAELECredential: LCSW
Location Address3375 PARK AVE STE 4001Wantagh, NY 11793
Mailing Address3375 Park Ave Ste 4001Wantagh, NY 11793-3799 · (516) 330-1186
Phone(516) 330-1186
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 27, 2012
Last NPPES UpdateAugust 10, 2018
✔ NPI 1396009189 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 NY · 086056
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.
3375 PARK AVE STE 4001, Wantagh, NY 11793
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jacqueline Raffaele Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961736806
PECOS Enrollment IDI20190626000880
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Raffaele reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jacqueline Raffaele, Lcsw, PC
15 mi
Clinical
82 ELBERTA DR
East Northport, NY 11731
  • Reassigned Medicare billing, New York enrollment
NPI 1104663939 (516) 330-1186

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11793 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jacqueline Raffaele's NPI number?

The NPI number for Jacqueline Raffaele is 1396009189. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Jacqueline Raffaele located?

Jacqueline Raffaele practices at 3375 Park Ave Ste 4001, Wantagh, NY 11793. The listed phone number is (516) 330-1186.

What is Jacqueline Raffaele's specialty?

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

Is Jacqueline Raffaele enrolled in Medicare?

Yes. Jacqueline Raffaele is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacqueline Raffaele's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Raffaele reassigns Medicare benefits to Jacqueline Raffaele, Lcsw, PC (East Northport, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Raffaele's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Raffaele was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.