Gwendolyn Tarack, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R044541-01 Issued in NY

Practice address

310 W 72ND St # 1D
New York, NY 10023-2999

Phone

(646) 286-1642

NPI assigned

May 6, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1588411706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W 94TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257016",
            "telephone_number": "646-286-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W 72ND ST # 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232999",
            "telephone_number": "646-286-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARACK",
        "first_name": "GWENDOLYN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R044541-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Tapper, MSN, RN, CPNP-AC
• Taproot Therapy
• Mustafa Abbas Taquee, MD
• Romina Tara, DNP, FNP
• Olivia Tarabocchia
• Janna Taradash
• Sabrina Tarafdar, RPA-C
• Tetiana Taran, PHARMD
• Farzana Tarannum, PHARMD
• Steve Taranov, DDS

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.