Individual provider Active NPI

Tatiana Kendra Casimir, LMSW

  • School Social Worker
  • Brooklyn, NY
National Provider Identifier
1013566157
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
105927 Issued in NY
Practice address
1007 Quentin Rd
Brooklyn, NY 11223-2341
Phone
(718) 998-3235
Fax
(718) 336-3040
NPI assigned
Sep 11, 2019
Reactivated
Feb 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 105927 NY Primary

Addresses

Primary practice location

1007 Quentin Rd
Brooklyn, NY 11223-2341

Mailing address

1007 Quentin Rd
Brooklyn, NY 11223-2341
Phone (718) 998-3235

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
I20240627001074 NY Practitioner - Clinical Social Worker 2961946231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Integrity Social Work Services LLCGroup PAC ID 4880609528, 74 clinicians
Integrity Psychological Services, PLLCGroup PAC ID 8224489547, 10 clinicians

Practice addresses (Care Compare)

1110 S Ave
Suite 404
Staten Island, NY 10314-3411
Phone (800) 277-4680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105927NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Psychological Services, PLLC CurrentSince Apr 4, 2025 Accepting new patients
Integrity Social Work Services LLC CurrentSince May 3, 2024 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

1110 South Ave
Ste 404
Staten Island, NY 10314
Phone (718) 494-2858

2381 Hylan Blvd
Ste 13
Staten Island, NY 10306
Phone (718) 494-2858

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1013566157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232341",
            "telephone_number": "718-998-3235",
            "fax_number": "718-336-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232341",
            "telephone_number": "718-998-3235",
            "fax_number": "718-336-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIMIR",
        "first_name": "TATIANA",
        "middle_name": "KENDRA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "deactivation_date": "2020-05-29",
        "reactivation_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "105927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.