Taylor Rae Adams
Individual provider Active NPI Social Worker · Elmhurst, NY
NPI 1437990652 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1437990652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 119737 (NY)
- Practice address
- 9131 Queens Blvd Ste 222
Elmhurst, NY 11373-5511 - Phone
- (718) 896-3400
- NPI assigned
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119737 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Consultation Center | Current |
Accepting new patients | |
| Long Island Consultation Center, Inc. | Clinical | Current |
Accepting new patients |
Locations
9131 Queens Blvd
Ste 222
Elmhurst, NY 11373
Phone (718) 896-3400
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 119737 | NY | |
| Social Worker | 104100000X | 119737 | NY | Yes |
Addresses
Primary practice location
9131 Queens Blvd Ste 222
Elmhurst, NY 11373-5511
Mailing address
1335 Aspen Rd
Shrub Oak, NY 10588-1005
Phone (845) 248-0461
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.