Individual provider Active NPI

Aaron Trevor Tussing, LCSW

  • Clinical Social Worker
  • Syracuse, NY
National Provider Identifier
1841482817
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075364-1 Issued in NY
Practice address
104 Academy GRN
Syracuse, NY 13207-2840
Phone
(718) 764-3251
NPI assigned
Aug 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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 075364-1 NY Primary

Addresses

Primary practice location

104 Academy GRN
Syracuse, NY 13207-2840

Mailing address

104 Academy GRN
Syracuse, NY 13207-2840
Phone (718) 764-3251

Other names 1

  • Mr. Aaron Trevor Tabb-Tussing Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220805000275 NY Order and Referring Only - Clinical Social Worker 7517052418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075364-1NYMDClinical Social Worker
043274NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Cayuga Counties Chapter Nysarc, Inc. Past Accepting new patients
St. Vincent'S Mental Health Services Past Accepting new patients
Onondaga Pastoral Counseling Center Inc Past Accepting new patients
St. Vincent'S Services Past Accepting new patients

Organizations & group practices 4

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1841482817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ACADEMY GRN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132072840",
            "telephone_number": "718-764-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ACADEMY GRN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132072840",
            "telephone_number": "718-764-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUSSING",
        "first_name": "AARON",
        "middle_name": "TREVOR",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075364-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AARON",
            "last_name": "TABB-TUSSING",
            "middle_name": "TREVOR",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.