Yisroel M Teitelbaum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

083256 Issued in NY

Practice address

321 Route 59 Ste W5
Tallman, NY 10982-7500

Phone

(845) 642-5184

Fax

(845) 915-9219

NPI assigned

Nov 2, 2011

Last updated

Jul 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1023394103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 214",
            "city": "TALLMAN",
            "state": "NY",
            "postal_code": "109820214",
            "telephone_number": "845-642-5184",
            "fax_number": "845-915-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 ROUTE 59 STE W5",
            "city": "TALLMAN",
            "state": "NY",
            "postal_code": "109827500",
            "telephone_number": "845-642-5184",
            "fax_number": "845-915-9219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Roberts Rd",
            "address_purpose": "LOCATION",
            "city": "Monsey",
            "state": "NY",
            "postal_code": "109523618",
            "country_code": "US",
            "telephone_number": "845-642-5184 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEITELBAUM",
        "first_name": "YISROEL",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-02",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Langstein, RPH
• Miriam Leah Linzenberg, LMSW, CASAC
• Nodirakhon Makhkamova
• Richard a Varricchio OD PC
• Caryn Rosen, RPH
• Richard Alfred Varricchio, O.D.

• Clinical Social Worker in Tallman, NY
• Providers in Tallman, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.