Individual provider Active NPI

Francesca Tatis, LCSW

  • Clinical Social Worker
  • Elizabeth, NJ
National Provider Identifier
1902552375
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05756100 Issued in NJ
Practice address
615 N Broad St
Elizabeth, NJ 07208-3409
Phone
(908) 721-6176
NPI assigned
Feb 24, 2022
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05756100 NJ Primary

Addresses

Primary practice location

615 N Broad St
Elizabeth, NJ 07208-3409

Mailing address

615 N Broad St
Elizabeth, NJ 07208-3409
Phone (908) 721-6176

Other identifiers 1

IdentifierTypeStateIssuer
1639294879MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address francesca.tatis@bridgewaybhs.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230203002421 NJ Practitioner - Clinical Social Worker 1456723287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

275 Hobart St
Perth Amboy, NJ 08861-3396
Phone (732) 376-6635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Medical Center, Inc. CurrentSince Feb 27, 2023 Accepting new patients
La Casita de Esperanza CurrentSince Feb 1, 2026 Accepting new patients
Central Jersey Medical Center, Inc CurrentSince Feb 27, 2023 Accepting new patients
La Casita de Esperanza Clinical PastSince Feb 1, 2026 Accepting new patients

Locations

23 N Delsea Dr
#B
Clayton, NJ 08312
Phone (856) 226-4852

80 Johnson Ave
Newark, NJ 07108
Phone (973) 623-8592

275 Hobart St
Perth Amboy, NJ 08861
Phone (732) 376-6635

727 E Landis Ave
Fl 2
Vineland, NJ 08360
Phone (856) 538-0372

Interoperability endpoints

  • Direct secure messaging: francesca.tatis.1@16647.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1902552375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083409",
            "telephone_number": "908-721-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083409",
            "telephone_number": "908-721-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATIS",
        "first_name": "FRANCESCA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05756100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639294879",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "francesca.tatis@bridgewaybhs.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "615 N Broad St",
            "city": "Elizabeth",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "072083409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.