Active NPI
Tatyana Nastajja Abreu
- Social Worker
- Erie, PA
National Provider Identifier
1225756513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW139638
- Practice address
- 201 W 11TH St
Erie, PA 16501-1701 - Phone
- (833) 487-5769
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW139638 | PA | Primary |
Addresses
Primary practice location
201 W 11TH St
Erie, PA 16501-1701
Mailing address
210 E 31St St
Erie, PA 16504-1024
Phone (814) 860-0640
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 |
|---|---|---|---|
| SW139638 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey to a Trauma-Informed Life | Current | Accepting new patients |
Locations
201 W 11th St
Erie, PA 16501
Phone (814) 397-7480
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Erie, PA
- NPI 1518522242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1225756513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E 31ST ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165041024",
"telephone_number": "814-860-0640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W 11TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165011701",
"telephone_number": "833-487-5769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABREU",
"first_name": "TATYANA",
"middle_name": "NASTAJJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW139638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.