Tahl Alexander Leibovitz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091688 Issued in NY

Practice address

13340 87TH St Apt 1
Ozone Park, NY 11417-1975

Phone

(718) 924-6827

NPI assigned

Mar 17, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• Integrity Social Work Services LLC

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1972715456
  Medicare reassignment
• New Pathways Counseling Center

  • Social Worker
  • Brooklyn, NY
  • NPI 1689708141

  Clinical

  NPD (past)
• The New York and Presbyterian Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1194832477
  NPD (past)

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1235670654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13340 87TH ST",
            "address_2": "SUITE 3A",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171931",
            "telephone_number": "718-924-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13340 87TH ST APT 1",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171975",
            "telephone_number": "718-924-6827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Park Ave S Fl 6",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100107302",
            "country_code": "US",
            "telephone_number": "240-558-5796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 Park Pl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112173303",
            "country_code": "US",
            "telephone_number": "718-398-1962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2381 Hylan Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103063122",
            "country_code": "US",
            "telephone_number": "800-277-4680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10819 Rockaway Blvd",
            "address_purpose": "LOCATION",
            "city": "South Ozone Park",
            "state": "NY",
            "postal_code": "114201034",
            "country_code": "US",
            "telephone_number": "718-845-2620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIBOVITZ",
        "first_name": "TAHL",
        "middle_name": "ALEXANDER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-17",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "091688",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lasalandra, DO
• Naresh Subhas Latchman
• Anansa Ecusa Latiff, RN
• Lindsay Lavilla
• Young Mi Lee, PT, DPT
• Wai Ho Francis Leung, RPH
• Qiana Lewis
• Yuliya Leydeker, PHARM D, BCMTMS
• Alice U Li, M.D.
• Jack Wing Kit Li, D.O.

• Clinical Social Worker in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.