Individual provider Active NPI

Dalya Tamir, LMSW

  • Clinical Social Worker
  • Ithaca, NY
National Provider Identifier
1538595277
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086706 Issued in NY
Practice address
4088 Garrett Rd
Ithaca, NY 14850-9563
Phone
(607) 330-2520
NPI assigned
Sep 25, 2013
Last updated
Jun 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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 089945 NY
Clinical Social Worker 1041C0700X 086706 NY Primary

Addresses

Primary practice location

4088 Garrett Rd
Ithaca, NY 14850-9563

Mailing address

4088 Garrett Rd
Ithaca, NY 14850-9563
Phone (607) 330-2520

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
I20180629002088 NY Practitioner - Clinical Social Worker 6305192584 Practice locations: Ithaca, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4088 Garrett Rd
Ithaca, NY 14850-9563
Phone (607) 351-0449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089945NYMDSocial Worker
086706NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1538595277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4088 GARRETT RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148509563",
            "telephone_number": "607-330-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4088 GARRETT RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148509563",
            "telephone_number": "607-330-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMIR",
        "first_name": "DALYA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089945",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.