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TYLER MADORE LCSW
NPI 1639696628
Social Worker - Clinical in Ronkonkoma, NY

Active since August 29, 2017PECOS EnrolledAccepts Medicare Assignment
500 PECONIC ST APT 113B, RONKONKOMA, NY 11779(203) 841-8259 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2018, Aug 29, 2017 (2 updates tracked since 2017).

About Tyler Madore Lcsw NPPES

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

TYLER MADORE LCSW (NPI 1639696628) is an individual clinical provider in Ronkonkoma, New York, licensed in New York (087600) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland Gardens, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1639696628
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTYLER MADORECredential: LCSW
Location Address500 PECONIC ST APT 113BRonkonkoma, NY 11779-7127
Mailing Address500 Peconic St Apt 113bRonkonkoma, NY 11779-7127
Phone(203) 841-8259
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 29, 2017
Last NPPES UpdateNovember 14, 20182 updates tracked since enumeration
✔ NPI 1639696628 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 · 087600
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 096032 (NY)
500 PECONIC ST APT 113B, Ronkonkoma, NY 11779
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Secondary Practice Location 1

Location 121406 69th Ave Apt BOakland Gardens, NY 11364-2529 · Phone (203) 841-8259

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler Madore Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759615792
PECOS Enrollment IDI20190626000516
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 Reassignments

2

Medicare enrollment records show Tyler Madore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Long Island Elder Care Lcsw PLLC
4.1 mi
Social Worker
732 SMITHTOWN BYP STE A55
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • 17 clinicians in this Medicare group
NPI 1295763852 (631) 320-1070
Family Service League, Inc.
14 mi
Community/Behavioral Health
790 PARK AVE
Huntington, NY 11743
  • Reassigned Medicare billing, New York enrollment
  • 122 clinicians in this Medicare group
NPI 1528093242 (631) 427-3700

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
366 services19 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
233 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11779 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.

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 Tyler Madore's NPI number?

The NPI number for Tyler Madore is 1639696628. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Tyler Madore located?

Tyler Madore practices at 500 Peconic St Apt 113B, Ronkonkoma, NY 11779. The listed phone number is (203) 841-8259.

What is Tyler Madore's specialty?

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

Is Tyler Madore enrolled in Medicare?

Yes. Tyler Madore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tyler Madore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Madore reassigns Medicare benefits to 2 organizations: Long Island Elder Care Lcsw PLLC (Smithtown, NY) and Family Service League, Inc. (Huntington, NY). Each 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 Tyler Madore'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 Tyler Madore was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.