TYLER MADORE (NPI# 1639696628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639696628 |
| Entity Type | Individual |
| Full Name | TYLER MADORE |
| Credential | LCSW |
| Practice Address |
500 Peconic St Apt 113b Ronkonkoma NY 11779-7127 |
| Practice Telephone | 2038418259 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2018-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 096032 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
087600 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21406 69th Ave Apt B, Oakland Gardens, NY 113642529 | 2038418259 |
| Street Address |
500 PECONIC ST APT 113B |
| City | RONKONKOMA |
| State | NY |
| Zip Code | 11779-7127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
| 1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
| 1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
| 1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
| 1598295271 | Dalas Taddeo | Licensed Practical Nurse | 4490 Express Drive S, Ronkonkoma, NY 11779 | 2017-06-15 |
| 1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
| 1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
| 1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
| Find all providers in zip 11779 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154771756 | Maureen Silver | Social Worker | 4 Village Plaza Dr, Ronkonkoma, NY 11779-6273 | 2016-06-15 |
| 1043691348 | Monica Rivera-margas | Social Worker | 4081 Express Dr N, Ronkonkoma, NY 11779-5505 | 2015-06-11 |
| 1073928263 | Angela Teri | Social Worker | 12 Hermart Ln, Ronkonkoma, NY 11779-1900 | 2014-06-25 |
| 1427389022 | Alyssa Lanot | Social Worker | 41 Babcock Ave, Ronkonkoma, NY 11779-6737 | 2010-01-21 |
| 1669650206 | Annette Sasaki | Social Worker | 31 Village Plaza Dr, Ronkonkoma, NY 11779-6273 | 2008-02-06 |
| 1154458024 | Sheryl Ann Hafers | Social Worker | 40 Ackerly Ln, Ronkonkoma, NY 11779-4549 | 2007-02-27 |
| 1831254200 | Myrna M Chiesa | Social Worker | 485 Easton St, Ronkonkoma, NY 11779-6154 | 2006-12-26 |
| 1306905872 | Laraine Lynn Pincus | Social Worker | 47 13th Ave, Ronkonkoma, NY 11779-6201 | 2006-12-08 |
| 1659452431 | Jeanne R Squires | Social Worker | 21 Croydon Ave, Ronkonkoma, NY 11779-1947 | 2006-10-18 |
| 1336778703 | Linda S Rosasco | Social Worker | 939 Johnson Ave, Ronkonkoma, NY 11779-6066 | 2020-04-07 |
| Find all providers in RONKONKOMA | ||||
| City | RONKONKOMA |
| Zip Code | 11779 |
Please comment or provide details below to improve the information on TYLER MADORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.