Individual provider Active NPI

Tiffany Demichele Teamer, LCSW

  • Clinical Social Worker
  • Beacon, NY
National Provider Identifier
1104014182
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079690 Issued in NY
Practice address
223 Main St
Astor Services for Children & Families
Beacon, NY 12508
Phone
(845) 838-4920
Fax
(845) 838-4924
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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 079690 NY Primary

Addresses

Primary practice location

223 Main St
Astor Services for Children & Families
Beacon, NY 12508

Mailing address

17 Clark HTS
Pleasant Valley, NY 12569-7757
Phone (845) 838-4920

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
I20140917000437 NY Order and Referring Only - Clinical Social Worker 6002035474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teamer Counseling, LCSW, P.C. Clinical Current Accepting new patients

Organizations & group practices 1

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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1104014182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CLARK HTS",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125697757",
            "telephone_number": "845-838-4920",
            "fax_number": "845-838-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "address_2": "ASTOR SERVICES FOR CHILDREN & FAMILIES",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "12508",
            "telephone_number": "845-838-4920",
            "fax_number": "845-838-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAMER",
        "first_name": "TIFFANY",
        "middle_name": "DEMICHELE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beacon, NY

Sources for this page

Verify at the official NPI Registry.