Michele Ann Tavormina, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW008506L Issued in PA

Practice address

19 S 6TH St
Stroudsburg, PA 18360-2001

Phone

(570) 424-5477

Fax

(570) 424-5311

NPI assigned

Feb 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Collins, Collins, & Tavormina

  • Psychologist
  • Stroudsburg, PA
  • NPI 1003098732
  NPD (past)

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700927738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 7 BOX 7804",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183608646",
            "telephone_number": "570-420-8032",
            "fax_number": "570-424-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S 6TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602001",
            "telephone_number": "570-424-5477",
            "fax_number": "570-424-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVORMINA",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW008506L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Jay Strouse
• Bhoomika Arvindbhai Sukhadia, MD
• Kaytlyn Marie Suranofsky, RN
• Tannersville Physical Therapy & Wellness, Inc.
• Annette Tapia, LSW
• Quincy Maurice Taylor, MD
• William Tenpenny, DO
• The Dietitian's Fix, LLC
• The Green Book Wellness Collective LLC
• The Oasis of Love, Inc.

• Clinical Social Worker in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.