Individual provider Active NPI

Barbara H Tini, MSSW

  • Clinical Social Worker
  • Oyster Bay, NY
National Provider Identifier
1013049436
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R016002 Issued in NY
Practice address
438 Centre Island Rd
Oyster Bay, NY 11771
Phone
(516) 624-3818
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R016002 NY Primary

Addresses

Primary practice location

438 Centre Island Rd
Oyster Bay, NY 11771

Mailing address

438 Centre Island Road
Oyster Bay, NY 11771
Phone (516) 624-3818

Other names 1

  • Barbara Heitzman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000254 NY Practitioner - Clinical Social Worker 6608823513 Practice locations: Oyster Bay, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

438 Centre Island Rd
Oyster Bay, NY 11771-5012
Phone (516) 624-3818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R016002NYMDClinical Social Worker
016002NYMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013049436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 CENTRE ISLAND ROAD",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "11771",
            "telephone_number": "516-624-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 CENTRE ISLAND RD",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "11771",
            "telephone_number": "516-624-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINI",
        "first_name": "BARBARA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "MSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R016002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "HEITZMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oyster Bay, NY

Sources for this page

Verify at the official NPI Registry.