Provider Demographics
NPI:1275153033
Name:TAFURI, BETH K (LCSW)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:K
Last Name:TAFURI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 COLD SPRING RD # 2
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-4203
Mailing Address - Country:US
Mailing Address - Phone:914-584-0758
Mailing Address - Fax:
Practice Address - Street 1:61 COLD SPRING RD # 2
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-4203
Practice Address - Country:US
Practice Address - Phone:914-584-0758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0885711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY088571OtherSOCIAL WORK LICENSE NYS