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JEFFERSON TAVERAS LCSW
NPI 1619212883
Social Worker in Staten Island, NY

Active since November 29, 2012
255 GORDON ST, STATEN ISLAND, NY 10304(888) 554-3810(206) 426-0930 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jefferson Taveras Lcsw NPPES

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

JEFFERSON TAVERAS LCSW (NPI 1619212883) is an individual social worker in Staten Island, New York and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1619212883
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameJEFFERSON TAVERASCredential: LCSW
Location Address255 GORDON STStaten Island, NY 10304-1943
Mailing Address255 Gordon StStaten Island, NY 10304-1943 · (888) 554-3810 · Fax (206) 426-0930
Phone(888) 554-3810
Fax(206) 426-0930
Sole ProprietorYes
Enumeration DateNovember 29, 2012
✔ NPI 1619212883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
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.
255 GORDON ST, Staten Island, NY 10304
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Other Providers at the Same Location NPPES 4

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

MS. DIANE OWENS PHLEBOTOMIST
Technician, Pathology (Phlebotomy)
255 GORDON ST, SUITE LB
STATEN ISLAND, NY 10304
Richmond County (888) 776-5191
DR. DONALD R LEE-EDWARDS PH.D, LP
Clinic/Center (Adult Mental Health)
255 GORDON ST
STATEN ISLAND, NY 10304
Richmond County (347) 500-7785
MR. THOMAS L WILSON RN
Registered Nurse (Case Management)
255 GORDON ST
STATEN ISLAND, NY 10304
Richmond County (888) 554-3810
DR. DONALD R LEE-EDWARDS PH.D,MD,LP
Psychologist (Clinical)
255 GORDON ST
STATEN ISLAND, NY 10304
Richmond County (718) 554-0744

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 Jefferson Taveras's NPI number?

The NPI number for Jefferson Taveras is 1619212883. It was assigned to this individual provider in the NPPES registry on November 29, 2012.

Where is Jefferson Taveras located?

Jefferson Taveras practices at 255 Gordon St, Staten Island, NY 10304. The listed phone number is (888) 554-3810.

What is Jefferson Taveras's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jefferson Taveras was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.