Individual provider Active NPI

Tegan Hulse, LMSW

  • Clinical Social Worker
  • Riverhead, NY
National Provider Identifier
1215381447
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090378-1 Issued in NY
Practice address
208 Roanoke Ave
Riverhead, NY 11901-2706
Phone
(631) 591-7583
NPI assigned
Apr 13, 2016
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 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 090378-1 NY Primary

Addresses

Primary practice location

208 Roanoke Ave
Riverhead, NY 11901-2706

Mailing address

521 Moriches Middle Island Rd
Manorville, NY 11949-2120
Phone (631) 830-7948

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
I20200810002716 NY Practitioner - Clinical Social Worker 8628493434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

64 Old Riverhead Rd
Unit a
Westhampton Beach, NY 11978-1401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090378-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tegan Hulse LCSW Clinical Current Accepting new patients
New Hope Rising, Inc CurrentSince Nov 19, 2024 Accepting new patients
Family Service League, Inc. PastSince May 14, 2020 Accepting new patients

Locations

64 Old Riverhead Rd
Westhampton Beach, NY 11978
Phone (631) 336-9990

64 Old Riverhead Rd
Unit A
Westhampton Beach, NY 11978
Phone (631) 336-9990

Organizations & group practices 3

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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1215381447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MORICHES MIDDLE ISLAND RD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492120",
            "telephone_number": "631-830-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012706",
            "telephone_number": "631-591-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSE",
        "first_name": "TEGAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090378-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.