Individual provider Active NPI

Tiffaney Shevonne Troche, LCSW

  • Clinical Social Worker
  • Jamaica, NY
National Provider Identifier
1295195220
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091857 Issued in NY
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

Updated by the provider on Mar 10, 2026

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 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

IdentifierTypeStateIssuer
07903813MedicaidNY

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
I20260623000754 NY Practitioner - Clinical Social Worker 8820561715 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
091857NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.