Tanya Isdith-Collado, LMSW
Individual provider Active NPI Clinical Social Worker · Corona, NY
NPI 1801029236 · NPPES record last updated Jul 30, 2024
Key facts
- NPI
- 1801029236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 087373 (NY)
- Practice address
- 10324 Corona Ave
Corona, NY 11368-3177 - Phone
- (929) 522-0952
- NPI assigned
- Sep 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 087373 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1 Integral Mental Health Counseling Practice PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 087373 | NY | Yes |
Addresses
Primary practice location
10324 Corona Ave
Corona, NY 11368-3177
Mailing address
25 Suydam St
Brooklyn, NY 11221-2509
Phone (917) 939-8426
Other providers in Corona, NY
- Joice Margaret Infante
- Integral Mental Help Group, Inc
- Rosalie D Iraci
- Jane Isakova
- Marina Isakova
- Island Social Day Center Inc
- Avner Ismailov
- Eleonora Israilova
- Nicole Iuculano
- Cecilia Iwu Sr.
All providers in Corona, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2024. 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.