Active NPI
Tamara Greeley
- Clinical Social Worker
- New York, NY
National Provider Identifier
1265632004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R042770-1
- Practice address
- 280 Park Ave S
#17L
New York, NY 10010-6121 - Phone
- (212) 252-4474
- NPI assigned
- Jul 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R042770-1 | NY | Primary |
Addresses
Primary practice location
280 Park Ave S
#17L
New York, NY 10010-6121
Mailing address
626 E 20TH St
# 2A
New York, NY 10009-1509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040526001695 | NY | Practitioner - Clinical Social Worker | 2466433305 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
280 Park Ave
17L
New York, NY 10017-1216
Phone 21225244741
626 E 20 St
2A
New York, NY 10009-1510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R042770-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185580800000",
"number": "1265632004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 E 20TH ST",
"address_2": "# 2A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100091509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 PARK AVE S",
"address_2": "#17L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106121",
"telephone_number": "212-252-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREELEY",
"first_name": "TAMARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R042770-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.