Active NPI
Mia Tootill, LCSW
- Social Worker
- Briarcliff Manor, NY
National Provider Identifier
1285279216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 094515
- Practice address
- 1872 Pleasantville Rd Ste 1 #1214
Briarcliff Manor, NY 10510 - Phone
- (914) 359-2188
- Fax
- (914) 247-4769
- NPI assigned
- Nov 13, 2019
- Last updated
- Jun 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 094515 | NY | Primary |
Addresses
Primary practice location
1872 Pleasantville Rd Ste 1 #1214
Briarcliff Manor, NY 10510
Mailing address
1872 Pleasantville Rd Ste 1 #1214
Briarcliff Manor, NY 10510
Phone (914) 356-3219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 12, 2024 through Jan 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094515 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1285279216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1872 PLEASANTVILLE RD STE 1 #1214",
"city": "BRIARCLIFF MANOR",
"state": "NY",
"postal_code": "10510",
"telephone_number": "914-356-3219",
"fax_number": "914-247-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1872 PLEASANTVILLE RD STE 1 #1214",
"city": "BRIARCLIFF MANOR",
"state": "NY",
"postal_code": "10510",
"telephone_number": "914-359-2188",
"fax_number": "914-247-4769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOOTILL",
"first_name": "MIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "094515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Briarcliff Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.