Individual provider Active NPI

Talia Nitka, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1215544663
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
32 Union SQ E Ste 1104
New York, NY 10003-3226
Phone
(917) 916-9052
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

32 Union SQ E Ste 1104
New York, NY 10003-3226

Mailing address

2100 Welton St Apt 627
Denver, CO 80205-3875
Phone (201) 691-4102

Other practice location 1

155 S Madison St Ste 304
Denver, CO 80209-3014
Phone (201) 691-4102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240829001810 CO Practitioner - Clinical Social Worker 8224577622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Polaris Partners Counseling and Consulting LLCGroup PAC ID 2769892538, 9 clinicians

Practice addresses (Care Compare)

155 S Madison St
Suite 306
Denver, CO 80209-3014
Phone (866) 285-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Partners Counseling and Consulting LLC Clinical Current Accepting new patients
Polaris Partners Counseling and Consulting LLC CurrentSince Jun 16, 2024 Accepting new patients
Polaris Partners Counseling and Consulting LLC Clinical CurrentSince Jun 16, 2024 Accepting new patients

Locations

155 S Madison St
Ste 306
Denver, CO 80209
Phone (970) 576-1717

Organizations & group practices 3

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1215544663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WELTON ST APT 627",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053875",
            "telephone_number": "201-691-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 UNION SQ E STE 1104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033226",
            "telephone_number": "917-916-9052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 S Madison St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802093014",
            "country_code": "US",
            "telephone_number": "201-691-4102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NITKA",
        "first_name": "TALIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.