Active NPI
Tiffaney Shevonne Troche, LCSW
- Clinical Social Worker
- Jamaica, NY
National Provider Identifier
1295195220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 091857
- Practice address
- 10504 Sutphin Blvd
Jamaica, NY 11435-5022 - Phone
- (855) 681-8700
- NPI assigned
- Mar 3, 2016
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 091857 | NY | Primary |
Addresses
Primary practice location
10504 Sutphin Blvd
Jamaica, NY 11435-5022
Mailing address
628 Beverley Rd
Brooklyn, NY 11218-3202
Phone (718) 437-5573
Other practice location 1
175-14 Hilliside Ave
Jamaica, NY 11432-5772
Phone (718) 206-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07903813 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1200 Brown St
Suite 3
Peekskill, NY 10566-3617
PO Box
Suite 5036
White Plains, NY 10602
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091857 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benitez Medical Professional PC | Past | Accepting new patients | |
| Advanced Psychotherapy and Behavioral Health Services LCSW PC | Clinical | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
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.
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Clinical Social Worker
- Jamaica, NY
- NPI 1316271554
-
- Geriatric Psychiatry Physician
- Brooklyn, NY
- NPI 1922638444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1295195220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 BEVERLEY RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112183202",
"telephone_number": "718-437-5573",
"fax_number": "718-437-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10504 SUTPHIN BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114355022",
"telephone_number": "855-681-8700"
}
],
"practiceLocations": [
{
"address_1": "175-14 HILLISIDE AVE",
"address_purpose": "LOCATION",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114325772",
"country_code": "US",
"telephone_number": "718-206-9300",
"fax_number": "718-206-9300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TROCHE",
"first_name": "TIFFANEY",
"middle_name": "SHEVONNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-03",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "091857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07903813",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.