Individual provider Active NPI

Tamara Jean Green-Dachinger, TAMARA

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1013129469
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
044722-1 Issued in NY
Practice address
244 5TH Ave
#8C
New York, NY 10001-7604
Phone
(914) 420-4047
NPI assigned
May 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 044722-1 NY Primary

Addresses

Primary practice location

244 5TH Ave
#8C
New York, NY 10001-7604

Mailing address

54 Crossway
Scarsdale, NY 10583-7204
Phone (914) 722-8301

Other names 1

  • Ms. Tamara J. Green Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 3, 2017 through Sep 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044722-1NYMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013129469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CROSSWAY",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105837204",
            "telephone_number": "914-722-8301",
            "fax_number": "914-517-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 5TH AVE",
            "address_2": "#8C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017604",
            "telephone_number": "914-420-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-DACHINGER",
        "first_name": "TAMARA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "TAMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "044722-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "GREEN",
            "middle_name": "J.",
            "prefix": "MS.",
            "credential": "TAMARA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.