RALLE RAE GREENBERG (LICSW) – Clinical Social Worker, NPI 1154818409

RALLE RAE GREENBERG (LICSW) is a healthcare provider. based in Vineyard haven, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 107792 (MA). The NPI Number for RALLE RAE GREENBERG (LICSW) is 1154818409

Main info

Female
62 Years Of Experience
Accepts Medicare Assignment
Name
RALLE RAE GREENBERG (LICSW)
NPI
1154818409
Phone
Not provided
Address
111 EDGARTOWN RD
Enumeration Date
21 April 2018
Last Update Date
27 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086937900213
Graduation Year
1964 (62 years ago)
PAC ID
4789925348
Group Practice PAC ID
4385552496
Professional Enrollment ID
I20190408002398
Address ID
MA025570000OA111XXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for RALLE RAE GREENBERG (LICSW)

  • 111, Edgartown Road, William Street Historic District, Oklahoma Heights, Vineyard Haven, Tisbury, Dukes County, Massachusetts, 02568, United States

    VINEYARD HAVEN, MA 025685699

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190408002398IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes15218$0
View full utilization report →

Insurance plans in this area (ZIP 02568)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385552496View full group profile
NameSpecialtyState
Mental Health CounselorMA
Mental Health CounselorMA
Mental Health CounselorMA
Nurse PractitionerMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
P S Y C H I A T R YMA
Clinical Social WorkerMA
Clinical PsychologistMA

Reviews

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Frequently asked questions

What NPI should I save for RALLE RAE GREENBERG (LICSW)?
Save NPI 1154818409 if you need a stable reference for RALLE RAE GREENBERG (LICSW).
Is RALLE RAE GREENBERG (LICSW) currently active in the NPI registry?
CMS-published data lists RALLE RAE GREENBERG (LICSW) as an active registrant.
What field does RALLE RAE GREENBERG (LICSW) work in?
You can think of RALLE RAE GREENBERG (LICSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for RALLE RAE GREENBERG (LICSW)?
We surface Vineyard Haven, Massachusetts for RALLE RAE GREENBERG (LICSW) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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