Individual provider Active NPI

Bethel Tafari

  • Social Worker
  • Hyattsville, MD
National Provider Identifier
1659950012
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LG50082291 Issued in DC
Practice address
8301 Professional PL Ste 205
Hyattsville, MD 20785-2353
Phone
(240) 713-4866
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 22639 MD
Social Worker 104100000X LG50082291 DC Primary

Addresses

Primary practice location

8301 Professional PL Ste 205
Hyattsville, MD 20785-2353

Mailing address

8301 Professional PL Ste 205
Hyattsville, MD 20785-2353
Phone (240) 713-4866

Other practice location 1

3642 Sweetbush Trl
Laurel, MD 20724-2492
Phone (339) 224-3808

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
LG50082291DCMDSocial Worker
22639MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1659950012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 PROFESSIONAL PL STE 205",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852353",
            "telephone_number": "240-713-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 PROFESSIONAL PL STE 205",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852353",
            "telephone_number": "240-713-4866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3642 Sweetbush Trl",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207242492",
            "country_code": "US",
            "telephone_number": "339-224-3808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAFARI",
        "first_name": "BETHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "22639",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50082291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.