Active NPI
Heliana A Tavarez, LCSW
- Social Worker
- Bronx, NY
National Provider Identifier
1881225787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 086101
- Practice address
- 3400 Bainbridge Ave FL 7
Bronx, NY 10467-2404 - Phone
- (718) 920-8984
- Fax
- (718) 652-0131
- NPI assigned
- Jan 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 086101 | NY | Primary |
Addresses
Primary practice location
3400 Bainbridge Ave FL 7
Bronx, NY 10467-2404
Mailing address
43 Bronx River Rd Apt 6N
Yonkers, NY 10704-4421
Phone (646) 488-5163
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
| License | State | Type | Specialty |
|---|---|---|---|
| 086101 | NY | MD | Social Worker |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1881225787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 BRONX RIVER RD APT 6N",
"city": "YONKERS",
"state": "NY",
"postal_code": "107044421",
"telephone_number": "646-488-5163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BAINBRIDGE AVE FL 7",
"city": "BRONX",
"state": "NY",
"postal_code": "104672404",
"telephone_number": "718-920-8984",
"fax_number": "718-652-0131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAVAREZ",
"first_name": "HELIANA",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "086101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.