Individual provider Active NPI

Taryn Greta Tollman, LCSW

  • Clinical Social Worker
  • New Rochelle, NY
National Provider Identifier
1346496437
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO451431 Issued in NY
Practice address
16 Guion PL
Sound Shore Med Ctr/Kirschenbaum
New Rochelle, NY 10801-5502
Phone
(914) 365-3420
Fax
(914) 637-1385
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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 RO451431 NY Primary

Addresses

Primary practice location

16 Guion PL
Sound Shore Med Ctr/Kirschenbaum
New Rochelle, NY 10801-5502

Mailing address

16 Guion PL
Sound Shore Med Ctr/Kirschenbaum
New Rochelle, NY 10801-5502
Phone (914) 365-3420

Other identifiers 1

IdentifierTypeStateIssuer
11856611OtherNYCAQH

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
RO451431NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1346496437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GUION PL",
            "address_2": "SOUND SHORE MED CTR/KIRSCHENBAUM",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015502",
            "telephone_number": "914-365-3420",
            "fax_number": "914-637-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GUION PL",
            "address_2": "SOUND SHORE MED CTR/KIRSCHENBAUM",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015502",
            "telephone_number": "914-365-3420",
            "fax_number": "914-637-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLMAN",
        "first_name": "TARYN",
        "middle_name": "GRETA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO451431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11856611",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.