Tanya Jaffe

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120018 Issued in MA

Practice address

30 Eastbrook Rd
Suite 302
Dedham, MA 02026-2048

Phone

(781) 329-4579

NPI assigned

Jan 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Renz Counseling, LLC

  • Clinical Social Worker
  • Stoughton, MA
  • NPI 1780001990
  Medicare reassignment NPD
• Neighborhood Care Medical Services PLLC

  • Primary Care Clinic/Center
  • Dedham, MA
  • NPI 1053011460
  NPD (past)

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1497292676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 OAK ST",
            "address_2": "APT.407C",
            "city": "NEWTON UPPER FALLS",
            "state": "MA",
            "postal_code": "024641456",
            "telephone_number": "617-285-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EASTBROOK RD",
            "address_2": "SUITE 302",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262048",
            "telephone_number": "781-329-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "TANYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Ivankovic-Macgibbon
• Jennifer Nicole Jackson, MA, CCC-SLP
• Michelle Elaine Jacobs, NP
• Sean Jacquet
• Shirin Jafari-Lloyd, DO
• Gurvinder Kaur Jaiswal, MD
• Joseph Francis Janas, LICSW
• Mario Fernando Jaramillo, RDO
• Leanne Jasset, R.PH.
• Patricia S Jay, M.D.

• Clinical Social Worker in Dedham, MA
• Providers in Dedham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.