Vlada Tartsakov, MSWB

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

682891121 Issued in NY

Practice address

7813 153Rd Ave Ste 1
Howard Beach, NY 11414-1771

Phone

(718) 374-3917

NPI assigned

Nov 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1922352590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 NEPTUNE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356302",
            "telephone_number": "212-219-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7813 153RD AVE STE 1",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141771",
            "telephone_number": "718-374-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTSAKOV",
        "first_name": "VLADA",
        "name_prefix": "Mrs.",
        "credential": "MSWB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "682891121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY PRO GROUP INC",
            "identifier": "08EI124711R1X00",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• School Social Worker in Howard Beach, NY
• Providers in Howard Beach, NY by specialty
• School Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.