Active NPI
Tamar Kornitzer, LMSW
- Clinical Social Worker
- Elkins Park, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 58.011261
- Practice address
- 556 Shoemaker Rd
Elkins Park, PA 19027-2435 - Phone
- (203) 510-7537
- NPI assigned
- Feb 1, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 4133 | CT | |
| Clinical Social Worker | 1041C0700X | 097300 | NY | |
| Clinical Social Worker | 1041C0700X | CW024207 | PA | |
| Clinical Social Worker | 1041C0700X | 58.011261 | CT | Primary |
Addresses
Primary practice location
556 Shoemaker Rd
Elkins Park, PA 19027-2435
Mailing address
89 Clowes Ter
Waterbury, CT 06710-1605
Phone (203) 510-7537
Other practice location 1
141 E Main St
Waterbury, CT 06702-2310
Phone (203) 574-9000
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 |
|---|---|---|---|
| 58.011261 | CT | MD | Clinical Social Worker |
| 097300 | NY | MD | Clinical Social Worker |
| CW024207 | PA | MD | Clinical Social Worker |
| 11261 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Up Care PC LLC | Single Specialty | Current | Accepting new patients |
| Watermark Wellness | Social Worker | Current | Accepting new patients |
| WCT Behavioral Health & Medication Management PLLC | Single Specialty | Current | Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
30 Park Ln E
New Milford, CT 06776
Phone (860) 355-0971
211 Schraffts Dr
Lowr
Waterbury, CT 06705
Phone (203) 518-8218
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177
Organizations & group practices 4
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
- Elkins Park, PA
- NPI 1942048509
-
- Family Nurse Practitioner
- Waterbury, CT
- NPI 1285391474
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1215435508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 CLOWES TER",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067101605",
"telephone_number": "203-510-7537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "556 SHOEMAKER RD",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190272435",
"telephone_number": "203-510-7537"
}
],
"practiceLocations": [
{
"address_1": "141 E Main St",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067022310",
"country_code": "US",
"telephone_number": "203-574-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORNITZER",
"first_name": "TAMAR",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-01",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "4133",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "097300",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW024207",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "58.011261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.