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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIFFANY GOTTERBARN LCSW
NPI 1013765205
Social Worker - Clinical in Plainview, NY

Active since May 11, 2024PECOS Enrolled
998 OLD COUNTRY RD, PLAINVIEW, NY 11803(516) 390-4347 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tiffany Gotterbarn Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY GOTTERBARN LCSW (NPI 1013765205) is an individual clinical provider in Plainview, New York, licensed in New York (100656-01) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013765205
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTIFFANY GOTTERBARNCredential: LCSW
Location Address998 OLD COUNTRY RDPlainview, NY 11803-4928
Mailing Address7 Seaman RdGlen Cove, NY 11542-1514 · (516) 375-6479
Phone(516) 390-4347
Sole ProprietorNo
Enumeration DateMay 11, 2024
Last NPPES UpdateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1013765205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 100656-01
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 090198-01 (NY)
998 OLD COUNTRY RD, Plainview, NY 11803
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Gotterbarn Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tiffany Gotterbarn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charles Evans Center, Inc.
1.6 mi
Federally Qualified Health Center (FQHC)
857 S OYSTER BAY RD
Bethpage, NY 11714
  • Reassigned Medicare billing, New York enrollment
  • 66 clinicians in this Medicare group
NPI 1972982007 (516) 622-8888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK BRAM DENTIST PC
Dentist (General Practice)
998 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 681-3322
PALLAVI SHASTRI CASAC
Counselor (Addiction (Substance Use Disorder))
998 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 655-8301
IRINA SHPAK MEDICAL P.C.
Internal Medicine (Pulmonary Disease)
998 OLD COUNTRY RD, SUITE 203
PLAINVIEW, NY 11803
Nassau County (631) 271-9151
MR. MARK BRAM
Dentist (General Practice)
998 OLD COUNTRY RD, SUITE 3
PLAINVIEW, NY 11803
Nassau County (516) 681-3322
DR. LEA BRAM DDS
Dentist (General Practice)
998 OLD COUNTRY RD, SUITE 3
PLAINVIEW, NY 11803
Nassau County (516) 681-3322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Gotterbarn's NPI number?

The NPI number for Tiffany Gotterbarn is 1013765205. It was assigned to this individual provider in the NPPES registry on May 11, 2024.

Where is Tiffany Gotterbarn located?

Tiffany Gotterbarn practices at 998 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 390-4347.

What is Tiffany Gotterbarn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tiffany Gotterbarn enrolled in Medicare?

Yes. Tiffany Gotterbarn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tiffany Gotterbarn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Gotterbarn reassigns Medicare benefits to Charles Evans Center, Inc. (Bethpage, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Gotterbarn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tiffany Gotterbarn was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.