Individual provider Active NPI

Dorothy A Tuma, CSW

  • Clinical Social Worker
  • Dix Hills, NY
National Provider Identifier
1952508905
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074209-1 Issued in NY
Practice address
21 S Hollow Rd
Dix Hills, NY 11746-6141
Phone
(631) 254-0047
Fax
(631) 766-3262
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2020

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 074209-1 NY Primary

Addresses

Primary practice location

21 S Hollow Rd
Dix Hills, NY 11746-6141

Mailing address

21 S Hollow Rd
Dix Hills, NY 11746-6141
Phone (631) 254-0047

Other identifiers 1

IdentifierTypeStateIssuer
03515060MedicaidNY

Other names 1

  • Dorothy A Vandestouwe 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
I20140709000939 NY Practitioner - Clinical Social Worker 2769607639 Practice locations: Dix Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 S Hollow Rd
Dix Hills, NY 11746-6141
Phone (631) 254-0047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074209-1NYMDClinical Social Worker

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1952508905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S HOLLOW RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466141",
            "telephone_number": "631-254-0047",
            "fax_number": "631-766-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S HOLLOW RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466141",
            "telephone_number": "631-254-0047",
            "fax_number": "631-766-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMA",
        "first_name": "DOROTHY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074209-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03515060",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "VANDESTOUWE",
            "middle_name": "A",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dix Hills, NY

Sources for this page

Verify at the official NPI Registry.