Active NPIIndividual providerSole proprietor

Takia S Tate, CASAC

Counselor, Addiction (Substance Use Disorder) in Jamaica, New York

NPI Number1235934290
Practice location
17515 Rockaway Blvd Rm 162, Jamaica, NY 11434-5503
Fax
718-356-3155
Last updated
February 14, 2025

Takia Shonte Tate is a Counselor, Addiction (Substance Use Disorder) based in Jamaica, NY. Takia Shonte Tate practices in Jamaica, NY and has the professional credentials of CASAC. The NPI Number for Takia Shonte Tate is 1235934290 and holds a License No. 37434 (NY). The current practice location address for Takia Shonte Tate is 17515 Rockaway Blvd Rm 162, Jamaica, NY 11434-5503 and can be reached out via phone at 718-356-5100 and via fax at 718-356-3155.

Provider Profile Details

NPI Number
1235934290
Provider Name
Takia Shonte Tate
Credential
CASAC
Provider Entity Type
Individual
Gender
Female
Address
17515 Rockaway Blvd Rm 162, Jamaica, NY 11434-5503
Phone Number
718-356-5100
Fax Number
718-356-3155
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
February 14, 2025
Last Update Date
February 14, 2025
Certification Date
February 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
17515 Rockaway Blvd Rm 162
Jamaica, NY 11434-5503
Zip
11434-5503
Phone Number
718-356-5100
Fax Number
718-356-3155
Jamaica, NY 11434Get directions →

Provider Business Mailing Address Details

Address
4442 Arthur Kill RD Ste 4
Staten Island, NY 10309-1321
City
Staten Island
State
NY
Zip
10309-1321
Phone Number
718-356-5100
Fax Number
718-356-3155

License Information

License Number
37434
License State
NY
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Takia S Tate, CASAC?

The NPI number of Takia S Tate, CASAC is 1235934290. It was assigned on February 14, 2025 and is currently active in the NPPES registry.

What is the specialty of Takia S Tate, CASAC?

Takia S Tate, CASAC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NY under license number 37434.

Where does Takia S Tate, CASAC practice?

The practice location is 17515 Rockaway Blvd Rm 162, Jamaica, NY 11434-5503. The office can be reached at 718-356-5100 (phone) or 718-356-3155 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235934290 directly on the NPPES registry website.

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