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MR. TYSEN LEON WHITE LCSW
NPI 1073078226
Social Worker - Clinical in Jamaica, NY

Active since February 01, 2019PECOS Enrolled
9027 SUTPHIN BLVD, JAMAICA, NY 11435(718) 301-5175 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2026, Feb 5, 2019, Feb 1, 2019 (3 updates tracked since 2019).

About Mr. Tysen Leon White Lcsw NPPES

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

MR. TYSEN LEON WHITE LCSW (NPI 1073078226) is an individual clinical provider in Jamaica, New York, licensed in New York (094661) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1073078226
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TYSEN LEON WHITECredential: LCSW
Location Address9027 SUTPHIN BLVDJamaica, NY 11435-3647
Mailing Address9027 Sutphin BlvdJamaica, NY 11435-3647 · (718) 301-5175
Phone(718) 301-5175
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 1, 2019
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1073078226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 094661
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.
9027 SUTPHIN BLVD, Jamaica, NY 11435
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Tysen Leon White Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901376938
PECOS Enrollment IDI20260530000024
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11435 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 $67.00 – $201.98
Typical copayment $0.00 (range $16.75 – $50.49)
Most-billed visit code NA
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 20

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

ANDREW DAVID STEIN LCSW
Social Worker (Clinical)
9027 SUTPHIN BLVD, 5TH FLOOR
JAMAICA, NY 11435
Queens County (718) 526-8400
ROXANNE DOMENECH LCSW
Social Worker (Clinical)
9027 SUTPHIN BLVD
JAMAICA, NY 11435
Queens County (718) 799-6441
CHANDANI PERSAUD
Student in an Organized Health Care Education/Training Program
9027 SUTPHIN BLVD, 5TH FL
JAMAICA, NY 11435
Queens County (718) 526-8400
ANITA SCHAAL-DWYER RN
Registered Nurse
9027 SUTPHIN BLVD, 5TH FLOOR
JAMAICA, NY 11435
Queens County (718) 526-8400
MS. CAROL BROOKS LCSW
Social Worker (Clinical)
9027 SUTPHIN BLVD, 5TH FLOOR
JAMAICA, NY 11435
Queens County (718) 526-8400
MRS. MARIANNE TRAVERSON RN
Registered Nurse
9027 SUTPHIN BLVD
JAMAICA, NY 11435
Queens County (718) 557-2504
KENNETH KIM
Student in an Organized Health Care Education/Training Program
9027 SUTPHIN BLVD
JAMAICA, NY 11435
Queens County (718) 526-8400
EMMANUELLE PIERRE
Student in an Organized Health Care Education/Training Program
9027 SUTPHIN BLVD
JAMAICA, NY 11435
Queens County (718) 526-8400

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 Tysen White's NPI number?

The NPI number for Tysen White is 1073078226. It was assigned to this individual provider in the NPPES registry on February 1, 2019.

Where is Tysen White located?

Tysen White practices at 9027 Sutphin Blvd, Jamaica, NY 11435. The listed phone number is (718) 301-5175.

What is Tysen White's specialty?

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

Is Tysen White enrolled in Medicare?

Yes. Tysen White is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tysen White was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.