Active NPI
Anna C. Tello LCSW PC
- Clinical Social Worker
- Elmhurst, NY
National Provider Identifier
1346546728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 077870
- Legal business name
- ANNA C. TELLO LCSW PC
- Practice address
- 4130 75TH St FL 1
Elmhurst, NY 11373-1852 - Phone
- (201) 463-6228
- NPI assigned
- Feb 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Tello
- Title
- LCSW
- Phone
- (201) 463-6228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 077870 | NY | Primary |
Addresses
Primary practice location
4130 75TH St FL 1
Elmhurst, NY 11373-1852
Mailing address
PO Box 465
Bloomfield, NJ 07003-0465
Other names 1
- FAMILY COUNSELING GROUP OF NY
National Provider Directory
National Provider DirectoryLocations
4130 75th St
Ste 1
Elmhurst, NY 11373
Phone (201) 463-6228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296604800000",
"number": "1346546728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 465",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070030465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 75TH ST FL 1",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731852",
"telephone_number": "201-463-6228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNA C. TELLO LCSW PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A",
"authorized_official_last_name": "TELLO",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "201-463-6228"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "077870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FAMILY COUNSELING GROUP OF NY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.