Individual provider Active NPI

Victoria Fern Tilbe, LCSW-R

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1285863241
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R058606-1 Issued in NY
Practice address
87 Thorn Apple LN
Rochester, NY 14626-4445
Phone
(585) 478-5732
NPI assigned
Jul 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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 R058606-1 NY Primary

Addresses

Primary practice location

87 Thorn Apple LN
Rochester, NY 14626-4445

Mailing address

87 Thorn Apple LN
Rochester, NY 14626-4445
Phone (585) 478-5732

Other identifiers 2

IdentifierTypeStateIssuer
11448121OtherNYBLUE CROSS BLUE SHIELD
11448121OtherNYMVP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R058606-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Rehabilitation Center, Inc PastSince Aug 11, 2005 Accepting new patients

Organizations & group practices 1

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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1285863241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 THORN APPLE LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264445",
            "telephone_number": "585-478-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 THORN APPLE LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264445",
            "telephone_number": "585-478-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILBE",
        "first_name": "VICTORIA",
        "middle_name": "FERN",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R058606-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "11448121",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "11448121",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.