Tranquil Waters Counseling (LCSW) PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TRANQUIL WATERS COUNSELING (LCSW) PLLC

Practice address

4535 Southwestern Blvd Ste 706a
Hamburg, NY 14075-1870

Phone

(716) 449-0494

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Cheri L. Dietz, LCSW-RNPI 1710912688

Title

Sole Member

Phone

(716) 449-0494

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheri L Dietz, LCSW-R

  • Clinical Social Worker
  • Hamburg, NY
  • NPI 1710912688
  NPD Authorized official
• Penny Lynn Drag, LMSW

  • Social Worker
  • Hamburg, NY
  • NPI 1043882046
  NPD

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1568087146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6252 TUPELO LN",
            "city": "LAKE VIEW",
            "state": "NY",
            "postal_code": "140859472",
            "telephone_number": "716-713-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 SOUTHWESTERN BLVD STE 706A",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751870",
            "telephone_number": "716-449-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL WATERS COUNSELING (LCSW) PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "716-449-0494",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4535 Southwestern Blvd Ste 706A",
            "city": "Hamburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140751870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Town of Hamburg
• Town of Hamburg Adult Day Services
• Town of Hamburg Youth Recreation, and Senior Services
• Charles Sebastian Travagliato, DDS
• Trinity Medical Wny PC
• Theresa M Tripi, MSW
• Lien Truong, LCSW
• Francis Anthony Trzepkowski, O.D.

• Clinical Social Worker in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.