Individual provider Active NPI

Dganit Tal-Slor, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1659503746
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO56413-1 Issued in NY
Practice address
242 E 2ND St
New York, NY 10009-8127
Phone
(212) 780-9008
Fax
(212) 228-6361
NPI assigned
Aug 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 112326039 NY
Clinical Social Worker 1041C0700X RO56413-1 NY Primary

Addresses

Primary practice location

242 E 2ND St
New York, NY 10009-8127

Mailing address

242 E 2ND St
New York, NY 10009-8127
Phone (212) 780-9008

Other identifiers 1

IdentifierTypeStateIssuer
00245065MedicaidNY

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
112326039NYMDMental Health Counselor
RO56413-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Access, Inc. PastSince Jul 20, 2011 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": "1250899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1659503746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E 2ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098127",
            "telephone_number": "212-780-9008",
            "fax_number": "212-228-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E 2ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098127",
            "telephone_number": "212-780-9008",
            "fax_number": "212-228-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAL-SLOR",
        "first_name": "DGANIT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-22",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "112326039",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO56413-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245065",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.