Individual provider Active NPI

Tamar Kornitzer, LMSW

  • Clinical Social Worker
  • Elkins Park, PA
National Provider Identifier
1215435508
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58.011261 Issued in CT
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

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4133 CT
Clinical Social Worker 1041C0700X 097300 NY
Clinical Social Worker 1041C0700X CW024207 PA
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58.011261CTMDClinical Social Worker
097300NYMDClinical Social Worker
CW024207PAMDClinical Social Worker
11261CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC Single Specialty CurrentSince Apr 13, 2022 Accepting new patients
Watermark Wellness Social Worker CurrentSince May 23, 2023 Accepting new patients
WCT Behavioral Health & Medication Management PLLC Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 8, 2023 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.

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

Verify at the official NPI Registry.