Individual provider Active NPI

Tatyana Vaynshteyn

  • Clinical Social Worker
  • Paramus, NJ
National Provider Identifier
1275936098
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05347200 Issued in NJ
Practice address
4 Forest Ave
Paramus, NJ 07652-5214
Phone
(201) 565-2920
NPI assigned
Oct 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00151700 NJ
Clinical Social Worker 1041C0700X 44SC05347200 NJ Primary

Addresses

Primary practice location

4 Forest Ave
Paramus, NJ 07652-5214

Mailing address

84 Gristmill Rd
Randolph, NJ 07869-2203
Phone (973) 328-6585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250908001413 NJ Practitioner - Clinical Social Worker 7416388046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

841 Mountain Ave
Suite 100
Springfield, NJ 07081-3437

841 Mountain Ave
Suite 100
Springfield, NJ 07081-3463
Phone (872) 810-3621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00151700NJMDAddiction (Substance Use Disorder) Counselor
44SC05347200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Social Recovery Center LLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

841 Mountain Ave
#100
Springfield, NJ 07081
Phone (872) 810-3621

841 Mountain Ave
Ste 100
Springfield, NJ 07081
Phone (973) 774-2273

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1275936098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 GRISTMILL RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692203",
            "telephone_number": "973-328-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525214",
            "telephone_number": "201-565-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYNSHTEYN",
        "first_name": "TATYANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00151700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05347200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.