Tina M Reiser, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

094265-01 Issued in NY

Practice address

152 Broadway Unit 10
Dobbs Ferry, NY 10522-2860

Phone

(914) 420-8237

NPI assigned

Nov 30, 2017

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 18, 2025 through Feb 18, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1841704749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BROADWAY UNIT 10",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222860",
            "telephone_number": "914-420-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BROADWAY UNIT 10",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222860",
            "telephone_number": "914-420-8237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Broadway",
            "address_purpose": "LOCATION",
            "city": "Hastings-on- Hudson",
            "state": "NY",
            "postal_code": "107061039",
            "country_code": "US",
            "telephone_number": "914-420-8237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISER",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094265-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunita Ravikumar, MD
• Heidi Ravis
• Raymond Opticians of Dobbs Ferry, Inc
• Vijaya K Reddy, M.D.
• Robert Paul Reiser, LCSW
• Annamarie Rerrie, MS, OTR/L
• Paytyn Resnick, NP
• John Jude Reynolds
• Rosetta M Rhodes, LCSW
• Maria Riccobono

• Clinical Social Worker in Dobbs Ferry, NY
• Providers in Dobbs Ferry, 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 Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.