Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Taveras, LCSW

Individual provider Social Worker · NPI 1619212883

Jefferson Taveras, LCSW is a Social Worker in Staten Island, New York. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

255 Gordon St
Staten Island, NY 10304-1943
Phone: (888) 554-3810
Fax: (206) 426-0930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1619212883
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 29, 2012
Last updated in NPPESNovember 29, 2012

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