Individual provider Active NPI

Britton Adolfo Tarris, LCSW, LMFT

  • Clinical Social Worker
  • New Hartford, NY
National Provider Identifier
1043799786
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093338 Issued in NY
Practice address
3 Ellinwood CT
New Hartford, NY 13413-1116
Phone
(315) 717-5787
NPI assigned
Aug 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001671 NY
Clinical Social Worker 1041C0700X 093338 NY Primary

Addresses

Primary practice location

3 Ellinwood CT
New Hartford, NY 13413-1116

Mailing address

84 Concord St
Ilion, NY 13357-2324
Phone (315) 717-5787

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

LicenseStateTypeSpecialty
001671NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Tarris Marriage and Family Therapy LCSW, PLLC Clinical Current Accepting new patients

Locations

3 Ellinwood Ct
New Hartford, NY 13413
Phone (315) 601-3089

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1043799786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 CONCORD ST",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133572324",
            "telephone_number": "315-717-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ELLINWOOD CT",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131116",
            "telephone_number": "315-717-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRIS",
        "first_name": "BRITTON",
        "middle_name": "ADOLFO",
        "name_prefix": "Mr.",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001671",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.