Tyra Denine Gonzalez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R056804-1 Issued in NY

Practice address

506 Stewart Ave
Epilepsy Foundation of Li
Garden City, NY 11530-4706

Phone

(516) 739-7733

Fax

(516) 739-3224

NPI assigned

Dec 26, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Laura E Asner CSW PCGroup PAC ID 3577525740, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Laura E Asner CSW PC

  • Clinical Social Worker
  • Bay Shore, NY
  • NPI 1326079856
  Medicare reassignment Care Compare group NPD
• Epic Medical Services PC

  • Specialist
  • East Meadow, NY
  • NPI 1134589609
  Medicare reassignment NPD
• Epic Long Island

  • Voluntary or Charitable Agency
  • East Meadow, NY
  • NPI 1174563936
  Medicare reassignment
• Open Door Counseling LCSW Social Work Services LLC

  • Clinical Social Worker
  • Farmingdale, NY
  • NPI 1447466834
  NPD (past)

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1841474988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CALIFORNIA AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064547",
            "telephone_number": "516-739-7733",
            "fax_number": "516-739-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 STEWART AVE",
            "address_2": "EPILEPSY FOUNDATION OF LI",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304706",
            "telephone_number": "516-739-7733",
            "fax_number": "516-739-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "TYRA",
        "middle_name": "DENINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056804-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L Gomes, M.D.
• Peter Gomez, DPT
• Lauren Lynne Gonzales, PHD
• Doris Gonzalez, PT, DPT
• Julie S.R. Gonzalez, M.D.
• Alan Mitchell Goodman, PH,D.
• Mark A Goodman, MD
• Maurene Goodman, M.A
• Danna Safran Gordon, LCSW
• Michael A. Gordon, MD

• Clinical Social Worker in Garden City, NY
• Providers in Garden City, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.