Tammy L Workley, LCSW

Key facts

NPI

1316285356

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

44SC05452300 (NJ)

Practice address

909 Park Avenue
Palmyra, NJ 08065-0109

Phone

(856) 905-3732

NPI assigned

Jan 25, 2013

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 9, 2016.

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1316285356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 PARK AVE",
            "city": "PALMYRA",
            "state": "NJ",
            "postal_code": "080651709",
            "telephone_number": "609-792-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 PARK AVENUE",
            "city": "PALMYRA",
            "state": "NJ",
            "postal_code": "080650109",
            "telephone_number": "856-905-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKLEY",
        "first_name": "TAMMY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-25",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05452300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "1316285356",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Palmyra, NJ · Clinical Social Worker in New Jersey