Dalia M Taveras, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

105-118 Issued in NY

Practice address

116 Lukens Ave
Brentwood, NY 11717-3026

Phone

(646) 934-9386

NPI assigned

Jun 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1093330136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 LUKENS AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117173026",
            "telephone_number": "646-934-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LUKENS AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117173026",
            "telephone_number": "646-934-9386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1444 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117064147",
            "country_code": "US",
            "telephone_number": "646-934-9386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVERAS",
        "first_name": "DALIA",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105-118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Masa Takaki, PHYSICIAN ASSISTANT
• Kiera Maureen Talley, MA
• Suresh J Tanna, M.D.
• Nicole Tapia, RD
• Shervin Tavari
• Taxi El Universal Inc.
• Joan Marie Taylor
• Francisca Tejeda
• Richard Roy Tesser, DMD
• Myriame Tessono, RN

• Social Worker in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.