Individual provider Active NPI

Christine Triffon, LCSW

  • Clinical Social Worker
  • Ardsley, NY
National Provider Identifier
1518234129
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
063237-1 Issued in NY
Practice address
731 Saw Mill River Rd
Suite 7
Ardsley, NY 10502-1814
Phone
(917) 459-8602
Fax
(914) 693-2266
NPI assigned
Nov 27, 2011
Last updated
May 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2013

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 063237-1 NY Primary

Addresses

Primary practice location

731 Saw Mill River Rd
Suite 7
Ardsley, NY 10502-1814

Mailing address

731 Saw Mill River Rd
Suite 7
Ardsley, NY 10502-1814
Phone (917) 459-8602

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
I20120229000103 NY Practitioner - Clinical Social Worker 8022276609 Practice locations: Ardsley, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

731 Saw Mill River Rd
Ardsley, NY 10502-1814
Phone (917) 459-8602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
063237-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Just Breathe Healing Center, LLC Clinical Current Accepting new patients

Locations

731 Saw Mill River Rd
Ste 7
Ardsley, NY 10502
Phone (845) 825-1256

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1322352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1518234129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 SAW MILL RIVER RD",
            "address_2": "SUITE 7",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021814",
            "telephone_number": "917-459-8602",
            "fax_number": "914-693-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 SAW MILL RIVER RD",
            "address_2": "SUITE 7",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021814",
            "telephone_number": "917-459-8602",
            "fax_number": "914-693-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIFFON",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-27",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "063237-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

Verify at the official NPI Registry.