Individual provider Active NPI

Daniel Tisman, LMSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1154409498
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069053 Issued in NY
Practice address
181 N 11TH St Apt 404
Brooklyn, NY 11211-1175
Phone
(917) 848-5474
Fax
(208) 441-8036
NPI assigned
Nov 2, 2006
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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 069053 NY Primary

Addresses

Primary practice location

181 N 11TH St Apt 404
Brooklyn, NY 11211-1175

Mailing address

181 N 11TH St Apt 404
Brooklyn, NY 11211-1175
Phone (917) 848-5474

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
I20260217000266 NY Practitioner - Clinical Social Worker 7719467042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Big Leap Medical Group PAGroup PAC ID 9830636935, 22 clinicians

Practice addresses (Care Compare)

137 E 25TH St
FL 11
New York, NY 10010-2368
Phone (201) 497-4169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
069053NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Big Leap Medical Group PA CurrentSince Jan 10, 2026 Accepting new patients

Locations

137 E 25th St
Fl 11
New York, NY 10010
Phone (201) 497-4169

169 Madison Ave
Ste 2828
New York, NY 10016
Phone (332) 330-4076

222 E 46th St
Rm 403
New York, NY 10017
Phone (631) 629-5887

295 Madison Ave
Rm 407
New York, NY 10017
Phone (332) 334-1511

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1154409498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 N 11TH ST APT 404",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111175",
            "telephone_number": "917-848-5474",
            "fax_number": "208-441-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N 11TH ST APT 404",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111175",
            "telephone_number": "917-848-5474",
            "fax_number": "208-441-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISMAN",
        "first_name": "DANIEL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.