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RAFAEL PEREZ LCSWR
NPI 1568889293
Social Worker - Clinical in Kingston, NY

Active since March 19, 2014Opted out of Medicare · through May 15, 2028
304 WALL ST, KINGSTON, NY 12401(845) 596-2764 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Rafael Perez Lcswr NPPES

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

RAFAEL PEREZ LCSWR (NPI 1568889293) is an individual clinical provider in Kingston, New York, licensed in New York (080213) and active in the NPI registry since March 2014. He has opted out of Medicare through May 15, 2028.

NPPES Registry Identity

NPI1568889293
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRAFAEL PEREZCredential: LCSWR
Location Address304 WALL STKingston, NY 12401-3850
Mailing Address6 Krisnan PlNew Paltz, NY 12561-4312 · (845) 596-2764
Phone(845) 596-2764
Sole ProprietorYes
Enumeration DateMarch 19, 2014
✔ NPI 1568889293 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 · 080213
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.
304 WALL ST, Kingston, NY 12401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rafael Perez Lcswr 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 May 15, 2020 through May 15, 2028.

Opt-Out Effective DateMay 15, 2020
Opt-Out In Effect ThroughMay 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

DENISE B SHERMAN LCSW
Social Worker (Clinical)
304 WALL ST
KINGSTON, NY 12401
Ulster County (845) 679-4443
CLAYTON HORSEY
Social Worker (Clinical)
304 WALL ST
KINGSTON, NY 12401
Ulster County (845) 417-7749
MICHELE A LAURO LMHC
Counselor (Mental Health)
304 WALL ST
KINGSTON, NY 12401
Ulster County (845) 514-5512

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 Rafael Perez's NPI number?

The NPI number for Rafael Perez is 1568889293. It was assigned to this individual provider in the NPPES registry on March 19, 2014.

Where is Rafael Perez located?

Rafael Perez practices at 304 Wall St, Kingston, NY 12401. The listed phone number is (845) 596-2764.

What is Rafael Perez's specialty?

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

Is Rafael Perez enrolled in Medicare?

No. Rafael Perez has opted out of Medicare through May 15, 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 Rafael Perez was last updated on March 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.