Individual provider Active NPI

Tina Zapetis, MSW, CASAC

  • Social Worker
  • Clifton Springs, NY
National Provider Identifier
1831559970
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2 Coulter Road
Outpatient Behavioral Health- Woodbury 1
Clifton Springs, NY 14332
Phone
(315) 462-1050
Fax
(315) 462-0145
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

2 Coulter Road
Outpatient Behavioral Health- Woodbury 1
Clifton Springs, NY 14332

Mailing address

2 Coulter Road
Outpatient Behavioral Health- Woodbury 1
Clifton Springs, NY 14332
Phone (315) 462-1050

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
I20211022001570 NY Practitioner - Clinical Social Worker 2769870815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seneca County TreasurerGroup PAC ID 7416840301, 16 clinicians

Practice addresses (Care Compare)

31 Thurber Dr
Waterloo, NY 13165-1665
Phone (315) 539-1980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1831559970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COULTER ROAD",
            "address_2": "OUTPATIENT BEHAVIORAL HEALTH- WOODBURY 1",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "14332",
            "telephone_number": "315-462-1050",
            "fax_number": "315-462-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COULTER ROAD",
            "address_2": "OUTPATIENT BEHAVIORAL HEALTH- WOODBURY 1",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "14332",
            "telephone_number": "315-462-1050",
            "fax_number": "315-462-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPETIS",
        "first_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "MSW, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Springs, NY

Sources for this page

Verify at the official NPI Registry.