Individual provider Active NPI

Michaelle Armand-Tassy, LCSW

  • Clinical Social Worker
  • Riverhead, NY
National Provider Identifier
1669643979
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071965-1 Issued in NY
Practice address
1380 Roanoke Ave
Suite 201
Riverhead, NY 11901-2098
Phone
(631) 369-4418
Fax
(631) 369-4421
NPI assigned
Mar 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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 071965-1 NY Primary

Addresses

Primary practice location

1380 Roanoke Ave
Suite 201
Riverhead, NY 11901-2098

Mailing address

1380 Roanoke Ave
Suite 201
Riverhead, NY 11901-2098
Phone (631) 369-4418

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
I20050606000413 NY Practitioner - Clinical Social Worker 8426091059 Practice locations: Hampton Bays, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Springville Rd
Suite 30
Hampton Bays, NY 11946-2289
Phone (631) 902-7301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071965-1NYMDSocial Worker
071965NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Association for Mental Health and Wellness Inc PastSince Apr 1, 2006 Accepting new patients

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/77c2b089-5ae8-473f-98a4-de9173e168aa/

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": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1669643979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 ROANOKE AVE",
            "address_2": "SUITE 201",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012098",
            "telephone_number": "631-369-4418",
            "fax_number": "631-369-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 ROANOKE AVE",
            "address_2": "SUITE 201",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012098",
            "telephone_number": "631-369-4418",
            "fax_number": "631-369-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMAND-TASSY",
        "first_name": "MICHAELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071965-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.