Individual provider Active NPI

Tina Fine, LMSW

  • Social Worker
  • Airmont, NY
National Provider Identifier
1124465984
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
087124 Issued in NY
Practice address
386 Route 59 Ste 102
Airmont, NY 10952-3428
Phone
(845) 368-7927
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X 087124 NY Primary

Addresses

Primary practice location

386 Route 59 Ste 102
Airmont, NY 10952-3428

Mailing address

386 Route 59 Ste 102
Airmont, NY 10952-3428

Other practice location 1

7 White Birch Dr
Pomona, NY 10970-3403
Phone (845) 362-0993

Other practice location 2

21 Sherri Ln
Spring Valley, NY 10977-1309
Phone (845) 216-8445

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
087124NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Judi Dobner Speech Therapy PLLC CurrentSince Apr 30, 2023 Accepting new patients
Judi Dobner Therapist Agency LLC PastSince May 16, 2021 Accepting new patients

Locations

386 Route 59
Ste 102
Airmont, NY 10952
Phone (845) 368-7927

Organizations & group practices 2

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1124465984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 ROUTE 59 STE 102",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 ROUTE 59 STE 102",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523428",
            "telephone_number": "845-368-7927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 White Birch Dr",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "NY",
            "postal_code": "109703403",
            "country_code": "US",
            "telephone_number": "845-362-0993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Sherri Ln",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "NY",
            "postal_code": "109771309",
            "country_code": "US",
            "telephone_number": "845-216-8445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINE",
        "first_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Airmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.