Individual provider Active NPI

Rayna E Terry-Taylor, LCSW

  • Clinical Social Worker
  • Jamaica, NY
National Provider Identifier
1609189307
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R051889 Issued in NY
Practice address
90-27 Sutphin Blvd, 5TH Floor
Transitional Services of New York
Jamaica, NY 11435
Phone
(718) 526-8400
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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 R051889 NY Primary

Addresses

Primary practice location

90-27 Sutphin Blvd, 5TH Floor
Transitional Services of New York
Jamaica, NY 11435

Mailing address

17 Alabama Ave
Hempstead, NY 11550-7210
Phone (516) 457-2353

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R051889NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Services for New York,Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1609189307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ALABAMA AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115507210",
            "telephone_number": "516-457-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90-27 SUTPHIN BLVD, 5TH FLOOR",
            "address_2": "TRANSITIONAL SERVICES OF NEW YORK",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11435",
            "telephone_number": "718-526-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY-TAYLOR",
        "first_name": "RAYNA",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R051889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.