Individual provider Active NPI

Tamekia T.N. Slaughter, LCSW

  • Clinical Social Worker
  • Niagara Falls, NY
National Provider Identifier
1356430250
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076865-1 Issued in NY
Practice address
2720 Kirkbridge Dr
Building 800
Niagara Falls, NY 14304-5001
Phone
(716) 236-2576
Fax
(716) 236-2357
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 076865-1 NY Primary

Addresses

Primary practice location

2720 Kirkbridge Dr
Building 800
Niagara Falls, NY 14304-5001

Mailing address

2720 Kirkbridge Dr
Building 800
Niagara Falls, NY 14304-5001
Phone (716) 236-2576

Other identifiers 2

IdentifierTypeStateIssuer
066919OtherNYLMSW
076865-1OtherNYLCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
076865-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1356430250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 KIRKBRIDGE DR",
            "address_2": "BUILDING 800",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143045001",
            "telephone_number": "716-236-2576",
            "fax_number": "716-236-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 KIRKBRIDGE DR",
            "address_2": "BUILDING 800",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143045001",
            "telephone_number": "716-236-2576",
            "fax_number": "716-236-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "TAMEKIA",
        "middle_name": "T.N.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076865-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "066919",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "076865-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.