MS. JEANNETTE TAVERAS (NPI# 1114439502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114439502 |
| Entity Type | Individual |
| Full Name | MS. JEANNETTE TAVERAS |
| Practice Address |
9114 Merrick Blvd Fl 6 Jamaica NY 11432-5247 |
| Mailing Address |
9411 34th Rd Jackson Heights NY 11372-6036 |
| Practice Telephone | 7188085605 |
| Mailing Telephone | 7188085605 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK STATE ID | 521485076 | 01 |
| Street Address |
9114 MERRICK BLVD FL 6 |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225557796 | Joel Luis Figueroa | Case Manager/Care Coordinator | 9114 Merrick Blvd Fl 6, Jamaica, NY 11432-5247 | 2017-09-15 |
| 1508482605 | Duverne Rameau | Peer Specialist | 9114 Merrick Blvd Fl 6, Jamaica, NY 11432-5363 | 2020-06-24 |
| 1699310292 | Catholic Charities Neigborhood Services | Clinic/Center | 9114 Merrick Blvd Fl 6, Jamaica, NY 11432-5363 | 2019-11-07 |
| 1790326635 | Latema Rice | Case Management | 9114 Merrick Blvd Fl 6, Jamaica, NY 11432-5363 | 2019-10-02 |
| 1205485331 | Gladia Lundi | Case Management | 9114 Merrick Blvd Fl 6, Jamaica, NY 11432-5363 | 2019-09-11 |
| 1497301808 | Vadim Beniaminov | Case Manager/Care Coordinator | 9114 Merrick Blvd Fl 6, Jamaica, NY 11432-5363 | 2019-08-12 |
| 1306498696 | Ana Lydia Arzu | Specialist | 9114 Merrick Blvd Fl 6, Jamaica, NY 11432-5363 | 2019-07-16 |
| 1588121990 | Oluchi Philippa Kachikwu IIi | Counselor | 9114 Merrick Blvd Fl 6, Jamaica, NY 11432-5247 | 2019-02-22 |
| 1417436239 | Martha Trinidad | Case Manager/Care Coordinator | 9114 Merrick Blvd Fl 6, Jamaica, NY 11432-5247 | 2018-08-13 |
| 1952880759 | Sean Watson | Case Manager/Care Coordinator | 9114 Merrick Blvd Fl 6, Jamaica, NY 11432-5247 | 2018-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120475 | Christine Juanita Allen | Social Worker | 13529 Cheney St, Jamaica, NY 11434-4025 | 2020-06-30 |
| 1063031805 | Taylor Butts | Social Worker | 10918 172nd St, Jamaica, NY 11433-3032 | 2020-04-12 |
| 1831727494 | Beatrice Oluyemisi Owoeye | Social Worker | Jamaica Medical Center, 8900 Van Wyck Express, Jamaica, NY 11418 | 2020-03-30 |
| 1558993824 | Delett Antonett Walker | Social Worker | 9027 Sutphin Blvd Ste 5, Jamaica, NY 11435-3648 | 2020-02-05 |
| 1891326849 | Carmen M Rosario | Social Worker | 8974 162nd St Ste 4, Jamaica, NY 11432-5012 | 2020-01-29 |
| 1376173625 | Trezmala Olu-williams | Social Worker | 18735 Hillside Ave Apt 4c, Jamaica, NY 11432-3224 | 2020-01-24 |
| 1871131581 | Maria Rubio | Social Worker | 13525 Hoover Ave, Jamaica, NY 11435-1445 | 2019-12-12 |
| 1508403684 | Tiffany Ferreira | Social Worker | 17224 133rd Ave Apt 10a, Jamaica, NY 11434-3903 | 2019-12-08 |
| 1740825785 | Crystal Angela Wilson | Social Worker | 8974 162nd St Ste 3, Jamaica, NY 11432-5012 | 2019-11-13 |
| 1023652435 | Latoya Glover | Social Worker | 14325 84th Dr Apt 1a, Jamaica, NY 11435-2218 | 2019-10-30 |
| Find all providers in JAMAICA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.