Active NPI
Tatyana Volokitin Pena, LCSW
- Clinical Social Worker
- Woodbury, NY
National Provider Identifier
1053544908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 080993
- Practice address
- 43 Caumsett Woods LN
Woodbury, NY 11797-1245 - Phone
- (347) 581-6041
- NPI assigned
- Aug 26, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 080993 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 080993-1 | NY |
Addresses
Primary practice location
43 Caumsett Woods LN
Woodbury, NY 11797-1245
Mailing address
43 Caumsett Woods LN
Woodbury, NY 11797-1245
Phone (347) 581-6041
Other names 1
- Ms. Tatyana Volokitin
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080993-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1053544908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 CAUMSETT WOODS LN",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117971245",
"telephone_number": "347-581-6041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 CAUMSETT WOODS LN",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117971245",
"telephone_number": "347-581-6041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "TATYANA",
"middle_name": "VOLOKITIN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "080993",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "080993-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TATYANA",
"last_name": "VOLOKITIN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.