Individual provider Active NPI

Doris F Tomer, MSW LCSW

  • Clinical Social Worker
  • Troy, NY
National Provider Identifier
1205827581
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR0160061 Issued in NY
Practice address
110 1/2 First St
1St Floor
Troy, NY 12180-4427
Phone
(518) 271-1862
Fax
(518) 271-1338
NPI assigned
Nov 4, 2005
Last updated
Oct 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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 PR0160061 NY Primary

Addresses

Primary practice location

110 1/2 First St
1St Floor
Troy, NY 12180-4427

Mailing address

110 1/2 First St
1St Floor
Troy, NY 12180-4427
Phone (518) 271-1862

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR0160061NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1205827581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 1/2 FIRST ST",
            "address_2": "1ST FLOOR",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121804427",
            "telephone_number": "518-271-1862",
            "fax_number": "518-271-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 1/2 FIRST ST",
            "address_2": "1ST FLOOR",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121804427",
            "telephone_number": "518-271-1862",
            "fax_number": "518-271-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMER",
        "first_name": "DORIS",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR0160061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.