Individual provider Active NPI

Janet Mary Tartick-Chudy, LCSW-R, CSSW

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1679722557
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R035403-1 Issued in NY
Practice address
449 Colvin Ave
Buffalo, NY 14216-1823
Phone
(716) 877-5145
NPI assigned
Sep 16, 2008
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R035403-1 NY Primary
School Social Worker 1041S0200X R035403-1 NY

Addresses

Primary practice location

449 Colvin Ave
Buffalo, NY 14216-1823

Mailing address

449 Colvin Ave
Buffalo, NY 14216-1823
Phone (716) 877-5145

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
R035403-1NYMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1679722557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 COLVIN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161823",
            "telephone_number": "716-877-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 COLVIN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161823",
            "telephone_number": "716-877-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTICK-CHUDY",
        "first_name": "JANET",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LCSW-R, CSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R035403-1",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "R035403-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.