Ross Lynn Tabisel, LCSW, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R013521-1 Issued in NY

Practice address

54 Sunnyside Blvd Ste a
Plainview, NY 11803-1517

Phone

(516) 576-1118

Fax

(516) 576-8876

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Ross Lynn Tabisel, LCSW, PH.D, PC.

  • Adult Mental Health Clinic/Center
  • Plainview, NY
  • NPI 1790088854
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336237270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SUNNYSIDE BLVD STE A",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031517",
            "telephone_number": "516-576-1118",
            "fax_number": "516-576-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SUNNYSIDE BLVD STE A",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031517",
            "telephone_number": "516-576-1118",
            "fax_number": "516-576-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABISEL",
        "first_name": "ROSS",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "LCSW, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R013521-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Meredith Swidler
• Rina Michelle Swidler, MSED
• Saad Syed, DO
• Summer Syed, DO
• Tori Ann Szabo, PA-C
• Marisa Taddeo, MSW
• Jodi Lynne Tafarella-Kunz, PSY.D.
• Romina Tafreshi, MD
• Kaitlin Tagliaferri, DO
• Sonia A Talwar

• Clinical Social Worker in Plainview, NY
• Providers in Plainview, NY by specialty
• Clinical Social Worker in New York

• 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.
• 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.

Verify at the official NPI Registry.