Individual provider Active NPI

Tkeyah Ebony Whaley

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1154839405
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
096290 Issued in NY
Practice address
185 W 231St St # 623
Bronx, NY 10463-5619
Phone
(917) 426-9191
NPI assigned
Jan 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 096290 NY Primary

Addresses

Primary practice location

185 W 231St St # 623
Bronx, NY 10463-5619

Mailing address

185 W 231St St # 623
Bronx, NY 10463-5619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231117000342 NY Practitioner - Clinical Social Worker 6709233455 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096290NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family and Children'S Services, Inc. Clinical CurrentSince Oct 13, 2023 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Nov 18, 2024 Accepting new patients
Shakespeare Operating LLC CurrentSince Nov 18, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 18, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 18, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Nov 18, 2024 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Oct 13, 2023 Accepting new patients

Locations

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

2488 Grand Concourse
Bronx, NY 10458
Phone (212) 695-5122

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Organizations & group practices 7

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": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1154839405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 W 231ST ST # 623",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 W 231ST ST # 623",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635619",
            "telephone_number": "917-426-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "TKEYAH",
        "middle_name": "EBONY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.