Active NPI
Debra L Tasman, LCSW
- Social Worker
- Amherst, NY
National Provider Identifier
1326121740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R0291861
- Practice address
- 315 Alberta Drive
Suite 211
Amherst, NY 14226 - Phone
- (716) 837-6705
- Fax
- (716) 837-6759
- NPI assigned
- Oct 21, 2006
- Sex
- Female
- Sole proprietor
- No
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 | R0291861 | NY | Primary |
Addresses
Primary practice location
315 Alberta Drive
Suite 211
Amherst, NY 14226
Mailing address
315 Alberta Drive
Suite 211
Amherst, NY 14226
Phone (716) 837-6705
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00025621701 | Other | UNIVERA | |
| 000504935002 | Other | BLUE CROSS | |
| 6211297 | Other | INDEPENDENT HEALTH |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0291861 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients |
Locations
900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571
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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326121740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 ALBERTA DRIVE",
"address_2": "SUITE 211",
"city": "AMHERST",
"state": "NY",
"postal_code": "14226",
"telephone_number": "716-837-6705",
"fax_number": "716-837-6759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 ALBERTA DRIVE",
"address_2": "SUITE 211",
"city": "AMHERST",
"state": "NY",
"postal_code": "14226",
"telephone_number": "716-837-6705",
"fax_number": "716-837-6759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TASMAN",
"first_name": "DEBRA",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R0291861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00025621701",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000504935002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "6211297",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.