Basic Information
| Provider Information | |||||||||
| NPI: | 1396145603 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TAPIA | ||||||||
| FirstName: | MARISOL | ||||||||
| MiddleName: | |||||||||
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| Credential: | MSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 75 MORRIS ST | ||||||||
| Address2: | C/O HOSTOS ELEMENTARY SCHOOL OF WJCS | ||||||||
| City: | YONKERS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 107051933 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9143768174 | ||||||||
| FaxNumber: | 9143760180 | ||||||||
| Practice Location | |||||||||
| Address1: | 75 MORRIS ST | ||||||||
| Address2: | C/O HOSTOS ELEMENTARY SCHOOL OF WJCS | ||||||||
| City: | YONKERS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 107051933 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9143768174 | ||||||||
| FaxNumber: | 9143760180 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/25/2014 | ||||||||
| LastUpdateDate: | 05/27/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171M00000X | N | Other Service Providers | Case Manager/Care Coordinator | 104100000X | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.