Izabel Eda Burd-Tamdogan, MSW-LP
Individual provider Active NPI Social Worker · Stone Ridge, NY
NPI 1265294698 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1265294698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- P126669 (NY)
- Practice address
- 3780 Main St
Stone Ridge, NY 12484-5603 - Phone
- (845) 243-7789
- NPI assigned
- Jan 30, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P126669 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P126669 | NY | Yes |
Addresses
Primary practice location
3780 Main St
Stone Ridge, NY 12484-5603
Mailing address
41 Colonial Dr Apt a
New Paltz, NY 12561-1842
Phone (180) 248-8067
Other providers in Stone Ridge, NY
- Andy Lapides LCSW PLLC
- Anthony Gaudioso, PH.D, Licensed Mental Health Counselor, P.C.
- Kent Babcock
- Lenore Mennin Bruce
- Marquita Byrd
- Kathleen Jean Caproni
- Rachel Ann Carron
- John F Cattich
- Christopher Mark Chamberlin
All providers in Stone Ridge, NY · Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.