Yanet M Pena-Tirado, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7000981 Issued in NY

Practice address

12 Fillmore Dr
Stony Point, NY 10980-3705

Phone

(845) 947-4674

NPI assigned

Jan 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1861763971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FILLMORE DRIVE",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109803705",
            "telephone_number": "917-608-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FILLMORE DR",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109803705",
            "telephone_number": "845-947-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA-TIRADO",
        "first_name": "YANET",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "7000981",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "414996101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSED MASTER SOCIAL WORKER",
            "identifier": "7000981",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Marie O'Looney, DC
• Obs-GYN of Rockland, PC
• Andrew Oolut
• Sunandan A Pandya, MD
• Andrew A Pappalardo, PHYSICAL THERAPIST
• Martha Perez
• Joel Pertofsky, DMD
• Peter Costa DPM & Associates Inc
• Peter Costa, D.P.M.
• Nicole Marie Peterson, MS CCC-SLP

• Clinical Social Worker in Stony Point, NY
• Providers in Stony Point, 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 Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.