Active NPI
Vincent R Tafolla, LMSW
- Social Worker
- Wellington, KS
National Provider Identifier
1093155335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8864
- Practice address
- 1601 W 16TH St
Wellington, KS 67152-8125 - Phone
- (620) 326-7448
- Fax
- (620) 326-6662
- NPI assigned
- Jul 1, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 8864 | KS | Primary |
Addresses
Primary practice location
1601 W 16TH St
Wellington, KS 67152-8125
Mailing address
1601 W 16TH St
Wellington, KS 67152-8125
Phone (620) 326-7448
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
- Opted out of Medicare
- Yes, effective May 6, 2017 through May 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8864 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1093155335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 W 16TH ST",
"city": "WELLINGTON",
"state": "KS",
"postal_code": "671528125",
"telephone_number": "620-326-7448",
"fax_number": "620-326-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 W 16TH ST",
"city": "WELLINGTON",
"state": "KS",
"postal_code": "671528125",
"telephone_number": "620-326-7448",
"fax_number": "620-326-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAFOLLA",
"first_name": "VINCENT",
"middle_name": "R",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-01",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "8864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.