Individual provider Active NPI

Tamila Misir

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1245896703
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088318 Issued in NY
Practice address
74 Logan St
Brooklyn, NY 11208-1315
Phone
(347) 691-9400
NPI assigned
May 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2019

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 088318 NY Primary

Addresses

Primary practice location

74 Logan St
Brooklyn, NY 11208-1315

Mailing address

74 Logan St
Brooklyn, NY 11208-1315
Phone (347) 691-9400

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
I20191122000823 NY Practitioner - Clinical Social Worker 3870925282 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088318NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Oct 18, 2019 Accepting new patients
Cassandra Reid LLC Clinical CurrentSince Nov 1, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Oct 18, 2019 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

3444 Kossuth Ave
Bronx, NY 10467
Phone (718) 920-2273

26 Court St
Brooklyn, NY 11242
Phone (718) 283-8225

113 University Pl
Fl 11
New York, NY 10003
Phone (412) 465-0513

113 University Pl
Fl 8
New York, NY 10003
Phone (347) 460-6588

113 University Pl
New York, NY 10003
Phone (917) 902-4248

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1245896703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 LOGAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081315",
            "telephone_number": "347-691-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 LOGAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081315",
            "telephone_number": "347-691-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISIR",
        "first_name": "TAMILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.