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

Q: 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.

Q: What is Autumn Talley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Autumn Talley was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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

Phone(718) 779-1600

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

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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.

KATHERINE MORENO LMHC

Counselor (Mental Health)