Active NPI
Tiffany Roni Bostic, LCSW
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1710634340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 088076
- Practice address
- 904 Greene Ave Apt 3
Brooklyn, NY 11221-6753 - Phone
- (240) 432-3372
- NPI assigned
- Mar 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 088076 | NY | Primary |
Addresses
Primary practice location
904 Greene Ave Apt 3
Brooklyn, NY 11221-6753
Mailing address
904 Greene Ave Apt 3
Brooklyn, NY 11221-6753
Phone (240) 432-3372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088076 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1710634340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 GREENE AVE APT 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112216753",
"telephone_number": "240-432-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 GREENE AVE APT 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112216753",
"telephone_number": "240-432-3372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSTIC",
"first_name": "TIFFANY",
"middle_name": "RONI",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-03",
"last_updated": "2022-03-03",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "088076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.