Lisa Raphael, LCSW
NPI 1164104386 · Clinical Social Worker · Metuchen, NJ
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Raphael, LCSW is a Clinical Social Worker provider in Metuchen, NJ (NPI 1164104386).
Provider details
- NPI number
- 1164104386
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 44SC06253100 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
2 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,886 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychiatric Services Complicated By Communication Factor90785 | 768 | $11 |
| Psychotherapy, 1 Hour90837 | 746 | $119 |
| Psychotherapy, 45 Minutes90834 | 159 | $80 |
| Psychotherapy, 30 Minutes90832 | 94 | $61 |
| Family Psychotherapy Without Patient, 50 Minutes90846 | 81 | $75 |
| Psychiatric Diagnostic Evaluation90791 | 38 | $135 |
Typical Medicare-allowed amounts for these services range $11–$135 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-07
- Last updated
- 2023-08-07
- Certified
- 2023-08-07
Frequently asked questions
- What is Lisa Raphael's NPI number?
- Lisa Raphael's National Provider Identifier (NPI) is 1164104386, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Raphael's specialty?
- Lisa Raphael is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Lisa Raphael located?
- Lisa Raphael's practice location on file with NPPES is 61 Pearl St, Metuchen, NJ 08840-1832.
- What is Lisa Raphael's phone number?
- The practice phone number listed in the NPPES registry for Lisa Raphael is (908) 514-8590.
- Does Lisa Raphael accept Medicare?
- Lisa Raphael is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Raphael's NPI active?
- Yes — Lisa Raphael's NPI (1164104386) is active in the NPPES registry as of the last update on 2023-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.