Phyllis Taliaferro, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PRO29434-1

Practice address

8749 257TH St
Floral Park, NY 11001-1413

Phone

(917) 520-0892

NPI assigned

Apr 9, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Shine Medical PC

  • Psychiatry Physician
  • New York, NY
  • NPI 1427783950
  NPD (past)

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1861011892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8749 257TH ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011413",
            "telephone_number": "917-520-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8749 257TH ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011413",
            "telephone_number": "917-520-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIAFERRO",
        "first_name": "PHYLLIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "PRO29434-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Stranz
• Elana Suleymanova, SC
• Sun Moon Medical PLLC
• Toufeeq Ali Syed, RN
• Jana Talamo, MA, CCC-SLP, TSHH
• Philip F. Tamburino, LCSW-R
• Iqra Tanveer
• Teressa Taurisani, M.A., BCBA, LBA
• Alyshiann Taylor
• Ramesh Thakkar, DDS

• Clinical Social Worker in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.