Individual provider Active NPI

Lisa A Horowitz-Tambor, LCSW

  • Clinical Social Worker
  • Whitestone, NY
National Provider Identifier
1245584549
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R048643-1 Issued in NY
Practice address
16625 Powells Cove Blvd
Whitestone, NY 11357-1545
Phone
(646) 279-6389
Fax
(718) 747-2995
NPI assigned
Nov 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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 R048643-1 NY Primary

Addresses

Primary practice location

16625 Powells Cove Blvd
Whitestone, NY 11357-1545

Mailing address

166-25 Powells Cove Blvd
Whitestone, NY 11357
Phone (646) 279-6389

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
I20201209002796 NY Practitioner - Clinical Social Worker 4385056753 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shakespeare Operating LLCGroup PAC ID 0840604310, 144 clinicians

Practice addresses (Care Compare)

1250 Shakespeare Ave
Bronx, NY 10452-3012
Phone (646) 350-1633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R048643-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
House Call Medical Services of New York, PLLC CurrentSince Dec 20, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 20, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 20, 2024 Accepting new patients
Shakespeare Operating LLC CurrentSince Dec 20, 2024 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Dec 20, 2024 Accepting new patients
Senior Care Therapy LCSW of New York PLLC Clinical CurrentSince Nov 15, 2023 Accepting new patients
Doral Pharmacy LLC Past Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

Organizations & group practices 8

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": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1245584549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166-25 POWELLS COVE BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "11357",
            "telephone_number": "646-279-6389",
            "fax_number": "718-747-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16625 POWELLS COVE BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571545",
            "telephone_number": "646-279-6389",
            "fax_number": "718-747-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROWITZ-TAMBOR",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R048643-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

Verify at the official NPI Registry.