Individual provider Active NPI

Erin Tishman, LPC

  • Clinical Social Worker
  • Greenwich, CT
National Provider Identifier
1821343609
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002206 Issued in CT
Practice address
20 Bridge St
Greenwich, CT 06830-5238
Phone
(203) 629-2822
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 002206 CT Primary

Addresses

Primary practice location

20 Bridge St
Greenwich, CT 06830-5238

Mailing address

60 Palmers Hill Rd
Stamford, CT 06902-2113
Phone (203) 629-2822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522001075 CT Practitioner - Mental Health Counselor 4789026766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Jewish Family Services of Greenwich IncGroup PAC ID 2062497001, 18 clinicians

Practice addresses (Care Compare)

1 Holly Hill LN
Greenwich, CT 06830-6001

67 Holly Hill LN
Greenwich, CT 06830-6072
Phone (203) 622-1881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Services of Greenwich Inc Clinical CurrentSince Apr 15, 2024 Accepting new patients

Locations

1 Holly Hill Ln
Greenwich, CT 06830
Phone (203) 227-1881

67 Holly Hill Ln
Greenwich, CT 06830
Phone (203) 622-1881

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1821343609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PALMERS HILL RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022113",
            "telephone_number": "203-629-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BRIDGE ST",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305238",
            "telephone_number": "203-629-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISHMAN",
        "first_name": "ERIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.