Active NPI
Tyler Ashley Smith, LMSW
- Social Worker
- New Rochelle, NY
National Provider Identifier
1740024892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 123869
- Practice address
- 481 Main St Ste 401
New Rochelle, NY 10801-6360 - Phone
- (303) 877-7695
- NPI assigned
- Jun 24, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 123869 | NY | Primary |
Addresses
Primary practice location
481 Main St Ste 401
New Rochelle, NY 10801-6360
Mailing address
319 W 106TH St Apt 4a
New York, NY 10025-3485
Phone (303) 877-7695
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 |
|---|---|---|---|
| 123869 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1740024892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 W 106TH ST APT 4A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100253485",
"telephone_number": "303-877-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 MAIN ST STE 401",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108016360",
"telephone_number": "303-877-7695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TYLER",
"middle_name": "ASHLEY",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "123869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.