ROBERT BRUCE RISAVI (NPI# 1144530940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144530940 |
| Entity Type | Individual |
| Full Name | ROBERT BRUCE RISAVI |
| Credential | LCSW-R |
| Practice Address |
5957 Route 20 West Lafayette NY 13084 |
| Practice Telephone | 3156773152 |
| Practice Fax Number | 3156773154 |
| Mailing Telephone | 3156773152 |
| Mailing Fax Number | 3156773154 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2019-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041S0200X |
Social Worker Specialization: School |
073125-1 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 122 Gateway Blvd Ste C, Mooresville, NC 281175544 | 7043603637 |
| Street Address |
5957 ROUTE 20 WEST |
| City | LAFAYETTE |
| State | NY |
| Zip Code | 13084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255469052 | Lafayette Central School District | Local Education Agency (LEA) | 5957 Route 20 West, Lafayette, NY 13084 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578929 | Ann Marie Spratt | Specialist | 3248 Sentinel Heights Road, Lafayette, NY 13084 | 2020-11-03 |
| 1710230677 | Walter Thomas Gilsdorf | Orthopaedic Surgery | 2026 Skyhigh Rd., Lafayette, NY 13084 | 2012-10-17 |
| 1447498027 | Stephen Paul Sheffield | Dentist | 2509 Us Route 11, Maher Bldg., La Fayette, NY 13084 | 2009-02-04 |
| 1326167685 | Arnold Robert Baum | Dentist | 2509 Route11 Maher Building, Lafayette, NY 13084 | 2007-03-28 |
| 1114043619 | David Matthew Hanas | Massage Therapist | 6050 Route Us 20, Lafayette, NY 13084 | 2007-03-22 |
| 1538200639 | Lafayette Family Optometry Pllc | Optometrist | 6157 Rt 20 E, Lafayette, NY 13084 | 2007-02-09 |
| 1912079286 | Lafayette Ambulance Department Inc. | Ambulance | 2444 Rte 11 South, Lafayette, NY 13084 | 2006-11-14 |
| 1336220409 | Donna Deanne Coty | Chiropractor | 2471 Us 11, Lafayette Chiropractic Center, Lafayette, NY 13084 | 2006-10-17 |
| 1811005739 | Connie D Marion | Registered Nurse | 5967 Cherry Valley Road, Lafayette, NY 13084 | 2006-08-29 |
| 1679580740 | Renee Marie Krajcar | Technician/Technologist | 6157 Rt 20 East, Lafayette, NY 13084 | 2006-08-02 |
| Find all providers in zip 13084 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479874 | Lisa Cannon Counseling, LLC | Social Worker | 534 S 9th St, Lafayette, IN 47901-1727 | 2020-08-26 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1871104208 | The Therapy Garden | Social Worker | 119 Ridgeway Dr Ste B1, Lafayette, LA 70503-3446 | 2020-08-10 |
| 1437769064 | Natalie Bunner | Social Worker | 107 Global Cir, Lafayette, LA 70503-5319 | 2020-08-07 |
| 1104464197 | Rebecca Oyer, Msw, Lcsw, Sep, LLC | Social Worker | 143 Ridgeway Dr Ste 101, Lafayette, LA 70503-3410 | 2019-12-20 |
| 1740827104 | Melissa T Vidrine | Social Worker | 345 Doucet Rd Ste 226, Lafayette, LA 70503-3490 | 2019-12-04 |
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1871141663 | Jayme Liles | Social Worker | 200 Claymore Dr, Lafayette, LA 70503-3834 | 2019-08-27 |
| 1821650987 | Kathryn Dietzway | Social Worker | 345 Doucet Rd Ste 217, Lafayette, LA 70503-3488 | 2019-06-28 |
| 1861952210 | Laura Willenborg Counseling LLC | Social Worker | 1000 Sagamore Pkwy N Ste 207, Lafayette, IN 47904-2474 | 2019-03-21 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.