Active NPI
Tara G. Seyfert, LCSW
- Clinical Social Worker
- Woodhaven, NY
National Provider Identifier
1962594218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW9912
- Practice address
- 7510 91St Ave
Woodhaven, NY 11421-2824 - Phone
- (718) 296-2871
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6683335-3506 | UT | |
| Clinical Social Worker | 1041C0700X | SW9912 | FL | Primary |
Addresses
Primary practice location
7510 91St Ave
Woodhaven, NY 11421-2824
Mailing address
47 W 600 N
Vernal, UT 84078-3606
Phone (435) 725-6300
Other practice location 1
285 W 800 S
Roosevelt, UT 84066-3707
Phone (435) 725-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962594218 | Other | LCSW |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tara.seyfert@va.gov | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6683335-3506 | UT | MD | Counselor |
| SW9912 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1962594218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 W 600 N",
"city": "VERNAL",
"state": "UT",
"postal_code": "840783606",
"telephone_number": "435-725-6300",
"fax_number": "435-725-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7510 91ST AVE",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114212824",
"telephone_number": "718-296-2871"
}
],
"practiceLocations": [
{
"address_1": "285 W 800 S",
"address_purpose": "LOCATION",
"city": "Roosevelt",
"state": "UT",
"postal_code": "840663707",
"country_code": "US",
"telephone_number": "435-725-6300",
"fax_number": "435-725-6325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEYFERT",
"first_name": "TARA",
"middle_name": "G.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "UT",
"license": "6683335-3506",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW9912",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "1962594218",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tara.seyfert@va.gov",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7510 91st Ave",
"city": "Woodhaven",
"state": "NY",
"country_code": "US",
"postal_code": "114212824",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Woodhaven, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.