KATHLEEN RAIZ LCSW
NPI 1861981045
Social Worker - Clinical in South Setauket, NY

Active since May 03, 2018PECOS EnrolledAccepts Medicare Assignment
10 TYBURN LN, SOUTH SETAUKET, NY 11720(516) 698-5511(516) 418-5377 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathleen Raiz Lcsw NPPES

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

KATHLEEN RAIZ LCSW (NPI 1861981045) is an individual clinical provider in South Setauket, New York and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1861981045
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN RAIZCredential: LCSW
Location Address10 TYBURN LNSouth Setauket, NY 11720-1428
Mailing Address10 Tyburn LnSouth Setauket, NY 11720-1428 · (516) 698-5511 · Fax (516) 418-5377
Fax(516) 418-5377
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 3, 2018
✔ NPI 1861981045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
10 TYBURN LN, South Setauket, NY 11720

Accepted Insurance

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

Kathleen Raiz 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 ID7416212667
PECOS Enrollment IDI20180517002629
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 Reassignments

2

Medicare enrollment records show Kathleen Raiz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
900 WALT WHITMAN RD STE LL1
Melville, NY 11747
  • Reassigned Medicare billing, New York enrollment
  • 45 clinicians in this Medicare group
Surgery
100 N ACADEMY AVE
Danville, PA 17822
  • Reassigned Medicare billing, New York enrollment
  • 25 clinicians in this Medicare group

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 11720 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.

Other Providers at the Same Location NPPES 8

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

Social Worker
10 TYBURN LN
SOUTH SETAUKET, NY 11720
Social Worker
10 TYBURN LN
SOUTH SETAUKET, NY 11720
Social Worker
10 TYBURN LN
SOUTH SETAUKET, NY 11720
Social Worker (Clinical)
10 TYBURN LN
SOUTH SETAUKET, NY 11720
Social Worker
10 TYBURN LN
SOUTH SETAUKET, NY 11720
Social Worker
10 TYBURN LN
SOUTH SETAUKET, NY 11720
Social Worker (Clinical)
10 TYBURN LN
SOUTH SETAUKET, NY 11720
Specialist/Technologist, Health Information (Coding Specialist, Physician Office Based)
10 TYBURN LN
SOUTH SETAUKET, NY 11720

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 Kathleen Raiz's NPI number?

The NPI number for Kathleen Raiz is 1861981045. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Where is Kathleen Raiz located?

Kathleen Raiz practices at 10 Tyburn Ln, South Setauket, NY 11720. The listed phone number is (516) 698-5511.

What is Kathleen Raiz's specialty?

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

Is Kathleen Raiz enrolled in Medicare?

Yes. Kathleen Raiz 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 organizations bill Medicare for Kathleen Raiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Raiz reassigns Medicare benefits to 2 organizations: Visiting Counselors Of New York, Lcsw, PLLC (Melville, NY) and Geisinger Clinic (Danville, PA). Each 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 Kathleen Raiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Raiz accept?

Health plans from Oscar Health list Kathleen Raiz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Raiz was last updated on May 3, 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.