Active NPI
Tara A. Atkinson, LMSW
- Social Worker
- Penn Yan, NY
National Provider Identifier
1043582380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 074486
- Practice address
- 418 N Main St
Patient Accounting Dept.
Penn Yan, NY 14527-1070 - Phone
- (315) 531-2150
- NPI assigned
- Feb 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 074486 | NY | Primary |
Addresses
Primary practice location
418 N Main St
Patient Accounting Dept.
Penn Yan, NY 14527-1070
Mailing address
465 N Main St
JDK Behavorial Health Center
Penn Yan, NY 14527-1069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074486 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soldiers & Sailors Memorial Hospital | Past | Accepting new patients | |
| Soldiers & Sailors Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Penn Yan, NY
- NPI 1043353618
-
- Family Medicine Physician
- Waterloo, NY
- NPI 1972101491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336953600000",
"number": "1043582380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 N MAIN ST",
"address_2": "JDK BEHAVORIAL HEALTH CENTER",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145271069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 N MAIN ST",
"address_2": "PATIENT ACCOUNTING DEPT.",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145271070",
"telephone_number": "315-531-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "TARA",
"middle_name": "A.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-02",
"last_updated": "2012-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "074486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penn Yan, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.