AUTUMN TALLEY
NPI 1144795790
Social Worker - Clinical in Jackson Heights, NY

Active since October 10, 2018
9114 37TH AVE, JACKSON HEIGHTS, NY 11372(718) 779-1600(347) 612-4162 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Autumn Talley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN TALLEY (NPI 1144795790) is an individual clinical provider in Jackson Heights, New York, licensed in New Jersey (T02960696961931) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1144795790
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAUTUMN TALLEY
Location Address9114 37TH AVEJackson Heights, NY 11372-7920
Mailing Address9114 37th AveJackson Heights, NY 11372-7920 · (718) 779-1600 · Fax (347) 612-4162
Fax(347) 612-4162
Sole ProprietorNo
Enumeration DateOctober 10, 2018
NPI 1144795790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NJ · T02960696961931
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

9114 37TH AVE, Jackson Heights, NY 11372

Other Identifiers 1

MedicaidT02960696961931NJ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
9114 37TH AVE
JACKSON HEIGHTS, NY 11372
Social Worker
9114 37TH AVE
JACKSON HEIGHTS, NY 11372
Pharmacist
9114 37TH AVE
JACKSON HEIGHTS, NY 11372
Social Worker (Clinical)
9114 37TH AVE
JACKSON HEIGHTS, NY 11372
Counselor (Mental Health)
9114 37TH AVE
JACKSON HEIGHTS, NY 11372
Counselor (Mental Health)
9114 37TH AVE
JACKSON HEIGHTS, NY 11372
Student in an Organized Health Care Education/Training Program
9114 37TH AVE
JACKSON HEIGHTS, NY 11372
Social Worker
9114 37TH AVE
JACKSON HEIGHTS, NY 11372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Autumn Talley's NPI number?

The NPI number for Autumn Talley is 1144795790. It was assigned to this individual provider in the NPPES registry on October 10, 2018.

Where is Autumn Talley located?

Autumn Talley practices at 9114 37th Ave, Jackson Heights, NY 11372. The listed phone number is (718) 779-1600.

What is Autumn Talley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Autumn Talley was last updated on October 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.