Tristanne Leslie Walliser, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

095798 Issued in NY

Practice address

186 Joralemon St FL 6
Brooklyn, NY 11201-4326

Phone

(718) 875-3500

NPI assigned

Nov 2, 2018

Last updated

Nov 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Feb 21, 2024 through Feb 21, 2028

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.

• Tete Dumbo LCSW

  • Counselor
  • Brooklyn, NY
  • NPI 1598319527
  NPD (past)

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1720556277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 JORALEMON ST FL 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014326",
            "telephone_number": "718-875-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 JORALEMON ST FL 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014326",
            "telephone_number": "718-875-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLISER",
        "first_name": "TRISTANNE",
        "middle_name": "LESLIE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Walli, MD
• Jenny Wallier, PH.D.
• Ann Wallin, M.S., CCC-A
• Sarah Elizabeth Wallin, MHC
• Rochelle Walling
• Linda Walls - McCartha, RN
• Andre Walls Sr., LMT
• Arianne Lanay Walls
• Eileen Tara Walls, MS-CCC/SLP
• Michelle Walls

• Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.