Individual provider Active NPI

Taji R Duncombe

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1639326739
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
77 Chicago Ave
Staten Island, NY 10305-3757
Phone
(718) 442-7828
Fax
(718) 720-0762
NPI assigned
Aug 20, 2008
Last updated
Aug 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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 Primary

Addresses

Primary practice location

77 Chicago Ave
Staten Island, NY 10305-3757

Mailing address

77 Chicago Ave
Staten Island, NY 10305-3757
Phone (718) 442-7828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20220422001429 NY Practitioner - Clinical Social Worker 3476940347 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince Jun 14, 2024 Accepting new patients
Senior Care Therapy LCSW of New York PLLC Clinical CurrentSince Apr 1, 2022 Accepting new patients
Comprehensive Counseling LCSW, PLLC Clinical CurrentSince Jul 2, 2023 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

2 Main St
Ste 2A
Plymouth, MA 02360

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256

6 Henry St
Beacon, NY 12508
Phone (845) 831-0400

50 Fountain Plz
Ste 1400
Buffalo, NY 14202
Phone (718) 504-9256

1129 Northern Blvd
Ste 404
Manhasset, NY 11030
Phone (516) 305-5531

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1639326739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CHICAGO AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053757",
            "telephone_number": "718-442-7828",
            "fax_number": "718-720-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CHICAGO AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053757",
            "telephone_number": "718-442-7828",
            "fax_number": "718-720-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCOMBE",
        "first_name": "TAJI",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.