Active NPI
Maria Teresa Taveras, LMSW
- Social Worker
- Glendale, NY
National Provider Identifier
1205511177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 084015
- Practice address
- 6729 Myrtle Ave
Glendale, NY 11385-7063 - Phone
- (718) 456-7001
- NPI assigned
- Jun 19, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 084015 | NY | |
| Social Worker | 104100000X | 084015 | NY | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 084015 | NY | |
| Psychoanalyst | 102L00000X | 084015 | NY |
Addresses
Primary practice location
6729 Myrtle Ave
Glendale, NY 11385-7063
Mailing address
190 Forsyth St Apt 3C
New York, NY 10002-1364
Phone (347) 433-2220
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
| License | State | Type | Specialty |
|---|---|---|---|
| 084015 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities Neigborhood Services | Past | Accepting new patients | |
| Catholic Charities Neighborhood Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Glendale, NY
- NPI 1881910131
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1548373921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1205511177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 FORSYTH ST APT 3C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100021364",
"telephone_number": "347-433-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6729 MYRTLE AVE",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113857063",
"telephone_number": "718-456-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAVERAS",
"first_name": "MARIA",
"middle_name": "TERESA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-19",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "084015",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "084015",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "084015",
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "084015",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.