Individual provider Active NPI

Tamica Janay Duclair, LCSW

  • Clinical Social Worker
  • Mechanicsville, NY
National Provider Identifier
1407240146
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090606-01
Practice address
431 Hudson Ave.
Mechanicsville, NY 12118-4503
Phone
(516) 232-6931
NPI assigned
Mar 19, 2015
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 092204 NY
Clinical Social Worker 1041C0700X 090606-01 Primary

Addresses

Primary practice location

431 Hudson Ave.
Mechanicsville, NY 12118-4503

Mailing address

431 Hudson Ave.
Mechanicsville, NY 12118-4503

Other names 1

  • Tamica Janay Armstead Former name

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
I20221012001567 NY Practitioner - Clinical Social Worker 3274909536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Athenapsych LLCGroup PAC ID 0446648893, 9 clinicians

Practice addresses (Care Compare)

2825 3Rd Ave
Suite 402
Bronx, NY 10455-4066
Phone (718) 520-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athenapsych LLC CurrentSince Aug 23, 2022 Accepting new patients
Athenapsych LLC PastSince Jul 13, 2025 Accepting new patients

Locations

2825 3rd Ave
Ste 402
Bronx, NY 10455
Phone (718) 360-0555

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1407240146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 HUDSON AVE.",
            "city": "MECHANICSVILLE",
            "state": "NY",
            "postal_code": "121184503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 HUDSON AVE.",
            "city": "MECHANICSVILLE",
            "state": "NY",
            "postal_code": "121184503",
            "telephone_number": "516-232-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCLAIR",
        "first_name": "TAMICA",
        "middle_name": "JANAY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092204",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "090606-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMICA",
            "last_name": "ARMSTEAD",
            "middle_name": "JANAY",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mechanicsville, NY

Sources for this page

Verify at the official NPI Registry.