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TINA MARIE CHRISTOFFERSEN LCSW
NPI 1699255422
Social Worker - Clinical in Kings Park, NY

Active since August 21, 2018PECOS Enrolled
220 INDIAN HEAD RD, KINGS PARK, NY 11754(347) 989-6965 Get Directions Write a Review

NPPES record last updated: August 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2025, Feb 5, 2021, Aug 21, 2018 (3 updates tracked since 2018).

About Tina Marie Christoffersen Lcsw NPPES

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

TINA MARIE CHRISTOFFERSEN LCSW (NPI 1699255422) is an individual clinical provider in Kings Park, New York, licensed in New York (100643) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of New York University School Of Medicine (2025).

NPPES Registry Identity

NPI1699255422
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTINA MARIE CHRISTOFFERSENCredential: LCSW
Location Address220 INDIAN HEAD RDKings Park, NY 11754-4802
Mailing Address220 Indian Head RdKings Park, NY 11754-4802 · (347) 989-6965
Phone(347) 989-6965
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 2025
Enumeration DateAugust 21, 2018
Last NPPES UpdateAugust 10, 20253 updates tracked since enumeration
NPPES CertifiedAugust 10, 2025
✔ NPI 1699255422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 100643
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 11004 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
220 INDIAN HEAD RD, Kings Park, NY 11754
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Secondary Practice Locations 2

Location 1320 Carleton AveCentral Islip, NY 11722-4506 · Phone (691) 663-4311 ext. 4311
Location 2240 Long Island AveWyandanch, NY 11798-3123 · Phone (631) 920-8250

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Marie Christoffersen Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870061336
PECOS Enrollment IDI20260504006740
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 Tina Christoffersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Service League, Inc.
7.3 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11754 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 3

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

JASON MOSS LAC
Acupuncturist
220 INDIAN HEAD RD
KINGS PARK, NY 11754
Suffolk County (631) 912-7035
TINA CHRISTOFFERSEN THERAPY LCSW, P.C.
Clinic/Center (Mental Health (Including Community Mental Health Center))
220 INDIAN HEAD RD
KINGS PARK, NY 11754
Suffolk County (347) 989-6965
ANDREA MOSS LAC
Acupuncturist
220 INDIAN HEAD RD
KINGS PARK, NY 11754
Suffolk County (631) 912-7038

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 Tina Christoffersen's NPI number?

The NPI number for Tina Christoffersen is 1699255422. It was assigned to this individual provider in the NPPES registry on August 21, 2018.

Where is Tina Christoffersen located?

Tina Christoffersen practices at 220 Indian Head Rd, Kings Park, NY 11754. The listed phone number is (347) 989-6965.

What is Tina Christoffersen's specialty?

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

Is Tina Christoffersen enrolled in Medicare?

Yes. Tina Christoffersen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tina Christoffersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Christoffersen reassigns Medicare benefits to Family Service League, Inc. (Huntington, 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 Tina Christoffersen'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 Tina Christoffersen was last updated on August 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.