Active NPI
Tina Wertenteil-Rotstein, LCSWR
- Clinical Social Worker
- Manhasset, NY
National Provider Identifier
1952501728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RO73430-1R
- Practice address
- 80 North Service Rd Lie
North Shore Child Guidance Center RFTS
Manhasset, NY 11030 - Phone
- (516) 484-3174
- Fax
- (516) 484-2729
- NPI assigned
- Jul 20, 2007
- Last updated
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | RO73430-1R | NY | Primary |
Addresses
Primary practice location
80 North Service Rd Lie
North Shore Child Guidance Center RFTS
Manhasset, NY 11030
Mailing address
80 North Service Rd Lie
North Shore Child Guidance Center RFTS
Manhasset, NY 11030
Phone (516) 484-3174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO73430-1R | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Child and Family Guidance Association Incorporated | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent and Children Mental Health Clinic/Center
- Roslyn Heights, NY
- NPI 1508929621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1952501728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 NORTH SERVICE RD LIE",
"address_2": "NORTH SHORE CHILD GUIDANCE CENTER RFTS",
"city": "MANHASSET",
"state": "NY",
"postal_code": "11030",
"telephone_number": "516-484-3174",
"fax_number": "516-484-2729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 NORTH SERVICE RD LIE",
"address_2": "NORTH SHORE CHILD GUIDANCE CENTER RFTS",
"city": "MANHASSET",
"state": "NY",
"postal_code": "11030",
"telephone_number": "516-484-3174",
"fax_number": "516-484-2729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERTENTEIL-ROTSTEIN",
"first_name": "TINA",
"credential": "LCSWR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "RO73430-1R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.