Individual provider Active NPI

Yasemin Tastan, LMSW

  • Social Worker
  • Commack, NY
National Provider Identifier
1447841408
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
111603 Issued in NY
Practice address
6218 Jericho Tpke
Commack, NY 11725-2801
Phone
(631) 499-5437
NPI assigned
Feb 1, 2021
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 111603 NY Primary

Addresses

Primary practice location

6218 Jericho Tpke
Commack, NY 11725-2801

Mailing address

6218 Jericho Tpke
Commack, NY 11725-2801

Other practice location 1

408 Main St
Center Moriches, NY 11934-3518
Phone (631) 874-0185

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
111603NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling & LCSW Services PC Clinical CurrentSince Feb 1, 2021 Accepting new patients

Locations

408 Montauk Hwy
Ctr Moriches, NY 11934
Phone (631) 874-0185

Organizations & group practices 1

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": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1447841408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6218 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6218 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252801",
            "telephone_number": "631-499-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Main St",
            "address_purpose": "LOCATION",
            "city": "Center Moriches",
            "state": "NY",
            "postal_code": "119343518",
            "country_code": "US",
            "telephone_number": "631-874-0185",
            "fax_number": "631-909-4796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TASTAN",
        "first_name": "YASEMIN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "111603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.