Tzvi Herman, LMSW
Individual provider Active NPI Social Worker · Douglaston, NY
NPI 1669720488 · NPPES record last updated Sep 3, 2013
Key facts
- NPI
- 1669720488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 089595 (NY)
- Practice address
- 24302 Northern Blvd
Douglaston, NY 11362-1150 - Phone
- (718) 423-6200
- NPI assigned
- Aug 28, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089595 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 089595 | NY | Yes |
Addresses
Primary practice location
24302 Northern Blvd
Douglaston, NY 11362-1150
Mailing address
149 05 79TH Ave Apt 102
Flushing, NY 11367
Phone (908) 220-7745
Other providers in Douglaston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.