Active NPIIndividual provider

Tiffany A Roosevelt, LMSW

Social Worker in Middletown, New York

NPI Number1851247365
Practice location
15 Fortune RD W, Middletown, NY 10941-1625
Fax
—
Last updated
March 6, 2026

Tiffany Ann Roosevelt is a Social Worker based in Middletown, NY. Tiffany Ann Roosevelt practices in Middletown, NY and has the professional credentials of LMSW. The NPI Number for Tiffany Ann Roosevelt is 1851247365 and holds a License No. 130829 (NY). The current practice location address for Tiffany Ann Roosevelt is 15 Fortune RD W, Middletown, NY 10941-1625 and can be reached out via phone at 845-343-5556.

Provider Profile Details

NPI Number
1851247365
Provider Name
Tiffany Ann Roosevelt
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
15 Fortune RD W, Middletown, NY 10941-1625
Phone Number
845-343-5556
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
March 6, 2026
Last Update Date
March 6, 2026
Certification Date
March 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Fortune RD W
Middletown, NY 10941-1625
Zip
10941-1625
Phone Number
845-343-5556
Middletown, NY 10941Get directions →

Provider Business Mailing Address Details

Address
15 Fortune RD W
Middletown, NY 10941-1625
City
Middletown
State
NY
Zip
10941-1625
Phone Number
845-343-5556

License Information

License Number
130829
License State
NY
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tiffany A Roosevelt, LMSW?

The NPI number of Tiffany A Roosevelt, LMSW is 1851247365. It was assigned on March 6, 2026 and is currently active in the NPPES registry.

What is the specialty of Tiffany A Roosevelt, LMSW?

Tiffany A Roosevelt, LMSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NY under license number 130829.

Where does Tiffany A Roosevelt, LMSW practice?

The practice location is 15 Fortune RD W, Middletown, NY 10941-1625. The office can be reached at 845-343-5556 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851247365 directly on the NPPES registry website.

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