NPIMap

Organization Active NPI

Tabitha Sieloff LCSW PLLC

  • Clinical Social Worker
  • Kingston, NY
National Provider Identifier
1356841209
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TABITHA SIELOFF LCSW PLLC
Practice address
144 Pine St Ste 140
Kingston, NY 12401
Phone
(845) 768-2295
Fax
(845) 523-1251
NPI assigned
Feb 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Tabitha Sieloff
Title
Owner
Phone
(845) 768-2295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

144 Pine St Ste 140
Kingston, NY 12401

Mailing address

144 Pine St Ste 140
Kingston, NY 12401-4946
Phone (845) 768-2295

Other identifiers 1

IdentifierTypeStateIssuer
1386911840MedicaidNY

Other names 1

  • Mosaic Community Services Doing business as

National Provider Directory

National Provider Directory

Locations

351 Fairview Ave
Ste 500
Hudson, NY 12534
Phone (845) 768-2295

144 Pine St
Ste 140
Kingston, NY 12401
Phone (845) 768-2285

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1356841209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 PINE ST STE 140",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014946",
            "telephone_number": "845-768-2295",
            "fax_number": "845-523-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 PINE ST STE 140",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-768-2295",
            "fax_number": "845-523-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABITHA SIELOFF LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "SIELOFF",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-768-2295"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386911840",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.