James Matthew Tinger, LMSW
Individual provider Active NPI Social Worker · Highland, NY
NPI 1487977682 · NPPES record last updated Mar 3, 2010
Key facts
- NPI
- 1487977682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 071653-1 (NY)
- Practice address
- 106 Vineyard Ave
Highland, NY 12528 - Phone
- (845) 691-9191
- Fax
- (845) 691-9339
- NPI assigned
- Mar 3, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Maverick Family Counseling LCSW PLLC
Practice addresses (Care Compare)
404 Zena Rd
Woodstock, NY 12498-2626
Phone (845) 679-8650
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200817003539 | NY | Practitioner - Clinical Social Worker | 8921424292 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071653-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hambright Medical, PLLC | Current |
Accepting new patients | |
| Grunblatt Psychology and Counseling Offices, P.C. | Current |
Accepting new patients | |
| Maverick Family Counseling LCSW PLLC | Current |
Accepting new patients | |
| Maverick Family Counseling | Social Worker | Past | Accepting new patients |
Locations
124 Green St
Kingston, NY 12401
Phone (845) 331-3001
167 Green St
Kingston, NY 12401
Phone (845) 241-7060
404 Zena Rd
Woodstock, NY 12498
Phone (845) 679-5271
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 071653-1 | NY | Yes |
Addresses
Primary practice location
106 Vineyard Ave
Highland, NY 12528
Mailing address
106 Vineyard Ave
Highland, NY 12528
Phone (845) 691-9191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134140809 | Medicaid | NY |
Other providers in Highland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.