Active NPIIndividual providerSole proprietor

Taiesha Wooten, LCSW

Social Worker, Clinical in Haverstraw, New York

NPI Number1649848433
Practice location
107 Coolidge St, Haverstraw, NY 10927-1034
Fax
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Last updated
June 16, 2021

Taiesha Wooten is a Social Worker, Clinical based in Haverstraw, NY. Taiesha Wooten practices in Haverstraw, NY and has the professional credentials of LCSW. The NPI Number for Taiesha Wooten is 1649848433 and holds a License No. 091441 (NY). The current practice location address for Taiesha Wooten is 107 Coolidge St, Haverstraw, NY 10927-1034 and can be reached out via phone at 845-598-8731.

Provider Profile Details

NPI Number
1649848433
Provider Name
Taiesha Wooten
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
107 Coolidge St, Haverstraw, NY 10927-1034
Phone Number
845-598-8731
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 16, 2021
Last Update Date
June 16, 2021
Certification Date
June 16, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
107 Coolidge St
Haverstraw, NY 10927-1034
Zip
10927-1034
Phone Number
845-598-8731
Haverstraw, NY 10927Get directions →

Provider Business Mailing Address Details

Address
107 Coolidge St
Haverstraw, NY 10927-1034
City
Haverstraw
State
NY
Zip
10927-1034
Phone Number
845-598-8731

License Information

License Number
091441
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · 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 Taiesha Wooten, LCSW?

The NPI number of Taiesha Wooten, LCSW is 1649848433. It was assigned on June 16, 2021 and is currently active in the NPPES registry.

What is the specialty of Taiesha Wooten, LCSW?

Taiesha Wooten, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 091441.

Where does Taiesha Wooten, LCSW practice?

The practice location is 107 Coolidge St, Haverstraw, NY 10927-1034. The office can be reached at 845-598-8731 (phone).

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 1649848433 directly on the NPPES registry website.

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