Active NPI
Tara Wolfert, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1619177458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P058904
- Practice address
- 4809 Avenue N Ste 346
Brooklyn, NY 11234-3711 - Phone
- (718) 376-9287
- Fax
- (718) 376-9287
- NPI assigned
- Jul 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P058904 | Primary |
Addresses
Primary practice location
4809 Avenue N Ste 346
Brooklyn, NY 11234-3711
Mailing address
4809 Avenue N Ste 346
Brooklyn, NY 11234-3711
Phone (718) 376-9287
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy Associations of New York State, Inc. | Current | Accepting new patients | |
| Federation Employment and Guidance Service, Inc | Past | Accepting new patients | |
| United Cerebral Palsy Assoc of Nys Inc. | Past | Accepting new patients |
Locations
979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009
40 Rector St
Fl 15
New York, NY 10006
Phone (929) 647-4796
2324 Forest Ave
Staten Island, NY 10303
Phone (718) 447-0200
Organizations & group practices 3
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.
-
- Clinic/Center
- Bronx, NY
- NPI 1366507758
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1942243084
-
- Clinic/Center
- Brooklyn, NY
- NPI 1285799684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1619177458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4809 AVENUE N STE 346",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112343711",
"telephone_number": "718-376-9287",
"fax_number": "718-376-9287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 AVENUE N STE 346",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112343711",
"telephone_number": "718-376-9287",
"fax_number": "718-376-9287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFERT",
"first_name": "TARA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "P058904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.