Active NPIIndividual provider

Harley Damarputra

Social Worker, Clinical in Rockaway Beach, New York

NPI Number1467239277
Practice location
8802 Rockaway Beach Blvd, Rockaway Beach, NY 11693-1609
Fax
—
Last updated
September 26, 2025

Harley Damarputra is a Social Worker, Clinical based in Rockaway Beach, NY. Harley Damarputra practices in Rockaway Beach, NY. The NPI Number for Harley Damarputra is 1467239277 and holds a License No. 128824-01 (NY). The current practice location address for Harley Damarputra is 8802 Rockaway Beach Blvd, Rockaway Beach, NY 11693-1609 and can be reached out via phone at 718-634-3461.

Provider Profile Details

NPI Number
1467239277
Provider Name
Harley Damarputra
Provider Entity Type
Individual
Gender
Male
Address
8802 Rockaway Beach Blvd, Rockaway Beach, NY 11693-1609
Phone Number
718-634-3461
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2023
Last Update Date
September 26, 2025
Certification Date
September 26, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
8802 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1609
Zip
11693-1609
Phone Number
718-634-3461
Rockaway Beach, NY 11693Get directions →

Provider Business Mailing Address Details

Address
1465 Commonwealth Ave Unit 614
Boston, MA 02135-3638
City
Boston
State
MA
Zip
02135-3638
Phone Number
857-400-4117

License Information

License Number
128824-01
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Harley Damarputra?

The NPI number of Harley Damarputra is 1467239277. It was assigned on September 14, 2023 and is currently active in the NPPES registry.

What is the specialty of Harley Damarputra?

Harley Damarputra is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 128824-01.

Where does Harley Damarputra practice?

The practice location is 8802 Rockaway Beach Blvd, Rockaway Beach, NY 11693-1609. The office can be reached at 718-634-3461 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467239277 directly on the NPPES registry website.

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