Individual provider Active NPI

Catherine Ann Tallon, SOCIAL WORKER

  • Social Worker
  • West Chazy, NY
National Provider Identifier
1972748358
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
041226 Issued in NY
Practice address
308 Ashley Rd
West Chazy, NY 12992-2600
Phone
(518) 563-0238
NPI assigned
Dec 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 041226 NY Primary

Addresses

Primary practice location

308 Ashley Rd
West Chazy, NY 12992-2600

Mailing address

308 Ashley Rd
West Chazy, NY 12992-2600
Phone (518) 563-0238

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

LicenseStateTypeSpecialty
041226NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1972748358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 ASHLEY RD",
            "city": "WEST CHAZY",
            "state": "NY",
            "postal_code": "129922600",
            "telephone_number": "518-563-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 ASHLEY RD",
            "city": "WEST CHAZY",
            "state": "NY",
            "postal_code": "129922600",
            "telephone_number": "518-563-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLON",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "041226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chazy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.