Organization Active NPI

Anna C. Tello LCSW PC

  • Clinical Social Worker
  • Elmhurst, NY
National Provider Identifier
1346546728
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077870 Issued in NY
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

Updated by the provider on Feb 2, 2011

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.