Individual provider Active NPI

Ali Tafeen, LCSW

  • Clinical Social Worker
  • Melville, NY
National Provider Identifier
1407048812
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072755-01 Issued in NY
Practice address
445 Broadhollow Rd Ste 25
Melville, NY 11747-3645
Phone
(212) 252-2748
NPI assigned
Aug 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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 072755-01 NY Primary

Addresses

Primary practice location

445 Broadhollow Rd Ste 25
Melville, NY 11747-3645

Mailing address

445 Broadhollow Rd Ste 25
Melville, NY 11747-3645
Phone (212) 252-2748

Other practice location 1

303 5th Ave Rm 1707
New York, NY 10016-6641
Phone (212) 252-2748

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
072755-01NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1407048812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BROADHOLLOW RD STE 25",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473645",
            "telephone_number": "212-252-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BROADHOLLOW RD STE 25",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473645",
            "telephone_number": "212-252-2748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 5th Ave Rm 1707",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166641",
            "country_code": "US",
            "telephone_number": "212-252-2748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAFEEN",
        "first_name": "ALI",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072755-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.