Active NPI
Tina Zapetis, MSW, CASAC
- Social Worker
- Clifton Springs, NY
National Provider Identifier
1831559970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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.
-
- Community/Behavioral Health Agency
- Waterloo, NY
- NPI 1689787517
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.