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MS. RAVEN WATERMAN LCSW
NPI 1992863294
Social Worker - Clinical in Yonkers, NY

Active since December 05, 2006Opted out of Medicare · through Mar 15, 2028
1767 CENTRAL PARK AVE # 161, YONKERS, NY 10710(914) 979-1544 Get Directions Write a Review

NPPES record last updated: September 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Raven Waterman Lcsw NPPES

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

MS. RAVEN WATERMAN LCSW (NPI 1992863294) is an individual clinical provider in Yonkers, New York, licensed in New York (073308) and active in the NPI registry since December 2006. She has opted out of Medicare through March 15, 2028.

NPPES Registry Identity

NPI1992863294
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. RAVEN WATERMANCredential: LCSW
Location Address1767 CENTRAL PARK AVE # 161Yonkers, NY 10710-2828
Mailing Address1767 Central Park Ave # 161Yonkers, NY 10710-2828 · (914) 979-1544
Phone(914) 979-1544
Sole ProprietorYes
Enumeration DateDecember 5, 2006
Last NPPES UpdateSeptember 15, 2019
✔ NPI 1992863294 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 · 073308
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.
1767 CENTRAL PARK AVE # 161, Yonkers, NY 10710
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Raven Waterman 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 15, 2024 through March 15, 2028.

Opt-Out Effective DateMarch 15, 2024
Opt-Out In Effect ThroughMarch 15, 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 Raven Waterman's NPI number?

The NPI number for Raven Waterman is 1992863294. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Raven Waterman located?

Raven Waterman practices at 1767 Central Park Ave # 161, Yonkers, NY 10710. The listed phone number is (914) 979-1544.

What is Raven Waterman's specialty?

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

Is Raven Waterman enrolled in Medicare?

No. Raven Waterman has opted out of Medicare through March 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 Raven Waterman was last updated on September 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.