Jessica Tavares

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

25 Faith LN
Danbury, CT 06810-7122

Phone

(914) 629-2324

NPI assigned

May 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1336762236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FAITH LN",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107122",
            "telephone_number": "914-629-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FAITH LN",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107122",
            "telephone_number": "914-629-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HIH",
            "affiliation": "N",
            "address_1": "25 Faith Ln",
            "city": "Danbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068107122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "japtav11@gmail.com",
            "affiliation": "N",
            "address_1": "25 Faith Ln",
            "city": "Danbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068107122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rose M Tamura, MD
• Dorothy Hoi-Yu Tang, MSN, RN, CPNP-PC
• Herbert Tang
• Brian Tannenbaum, LMSW
• Jacqueline Taormina
• Eric Anthony Taveras, MS
• Evelin Taveras, CVT
• Raquel Taveras, BA
• Zied Michael Taweh, MD
• Dany Tawk, D.M.D

• Clinical Social Worker in Danbury, CT
• Providers in Danbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.