Individual provider Active NPI

Georgia Eleni Tsamasiros, LMSW, MPA

  • Social Worker
  • Rockaway Park, NY
National Provider Identifier
1073098703
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
104786 Issued in NY
Practice address
125 Beach 124TH St Apt 2K
Rockaway Park, NY 11694-1858
Phone
(917) 681-6311
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 104786 NY Primary

Addresses

Primary practice location

125 Beach 124TH St Apt 2K
Rockaway Park, NY 11694-1858

Mailing address

125 Beach 124TH St Apt 2K
Rockaway Park, NY 11694-1858
Phone (917) 681-6311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104786NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1073098703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BEACH 124TH ST APT 2K",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941858",
            "telephone_number": "917-681-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BEACH 124TH ST APT 2K",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941858",
            "telephone_number": "917-681-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAMASIROS",
        "first_name": "GEORGIA",
        "middle_name": "ELENI",
        "credential": "LMSW, MPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "104786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.