Petrucci E. Taliaferro, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC01165100 Issued in NJ

Practice address

15 Village PLZ
Suite - LL4
South Orange, NJ 07079-2818

Phone

(973) 763-2828

Fax

(973) 763-0087

NPI assigned

May 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1770740763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VILLAGE PLZ",
            "address_2": "SUITE - LL4",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792818",
            "telephone_number": "973-763-2828",
            "fax_number": "973-763-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 VILLAGE PLZ",
            "address_2": "SUITE - LL4",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792818",
            "telephone_number": "973-763-2828",
            "fax_number": "973-763-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIAFERRO",
        "first_name": "PETRUCCI",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01165100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10765196",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernard C Spier, MD
• Kate Stoltz, MS, ATC
• Davia D. Strachan, D.D.S.
• Cynthia Denise Sutton, D.M.D.
• Jessamyn Blakeslee Tabakin, LCSW
• Flora Naomi Taylor, PH.D.
• Khalid Tellis
• Tender Hands Home Care LLC Dba Griswold Home Care
• The Hair 4Orce Salon
• The Heart Center of the Oranges

• Clinical Social Worker in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.