Individual provider Active NPI

James Matthew Tinger, LMSW

  • Social Worker
  • Highland, NY
National Provider Identifier
1487977682
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
071653-1 Issued in NY
Practice address
106 Vineyard Ave
Highland, NY 12528
Phone
(845) 691-9191
Fax
(845) 691-9339
NPI assigned
Mar 3, 2010
Last updated
Mar 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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 071653-1 NY Primary

Addresses

Primary practice location

106 Vineyard Ave
Highland, NY 12528

Mailing address

106 Vineyard Ave
Highland, NY 12528
Phone (845) 691-9191

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
I20200817003539 NY Practitioner - Clinical Social Worker 8921424292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Maverick Family Counseling LCSW PLLCGroup PAC ID 1557597184, 9 clinicians

Practice addresses (Care Compare)

404 Zena Rd
Woodstock, NY 12498-2626
Phone (845) 679-8650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071653-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maverick Family Counseling LCSW PLLC CurrentSince Aug 30, 2021 Accepting new patients
Hambright Medical, PLLC CurrentSince May 6, 2025 Accepting new patients
Grunblatt Psychology and Counseling Offices, P.C. CurrentSince Jul 9, 2020 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

Organizations & group practices 4

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": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1487977682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 VINEYARD AVE",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "12528",
            "telephone_number": "845-691-9191",
            "fax_number": "845-691-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 VINEYARD AVE",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "12528",
            "telephone_number": "845-691-9191",
            "fax_number": "845-691-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGER",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "071653-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

Sources for this page

Verify at the official NPI Registry.