Individual provider Active NPI

Tal Peleg-Morse, LMSW

  • Social Worker
  • Monticello, NY
National Provider Identifier
1831792985
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
061175-01 Issued in NY
Practice address
20 Crystal Street
Monticello, NY 12701
Phone
(845) 707-4326
Fax
(845) 707-4398
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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 061175-01 NY Primary

Addresses

Primary practice location

20 Crystal Street
Monticello, NY 12701

Mailing address

20 Crystal Street
Monticello, NY 12701
Phone (845) 707-4326

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
061175-01NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1831792985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CRYSTAL STREET",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "12701",
            "telephone_number": "845-707-4326",
            "fax_number": "845-707-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CRYSTAL STREET",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "12701",
            "telephone_number": "845-707-4326",
            "fax_number": "845-707-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELEG-MORSE",
        "first_name": "TAL",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "061175-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.