MS. TYNE K MCCREADIE LMSW
NPI 1811241102
Social Worker in Gouverneur, NY

Q: What is Tyne Mccreadie's NPI number?

The NPI number for Tyne Mccreadie is 1811241102. It was assigned to this individual provider in the NPPES registry on November 8, 2012.

Q: What is Tyne Mccreadie's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Tyne Mccreadie enrolled in Medicare?

No. Tyne Mccreadie has opted out of Medicare through May 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Tyne Mccreadie was last updated on November 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 08, 2012Opted out of Medicare · through May 29, 2028

28 WILLIAM ST, GOUVERNEUR, NY 13642(315) 287-2811 Get Directions Write a Review

NPPES record last updated: November 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Tyne K Mccreadie Lmsw NPPES

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

MS. TYNE K MCCREADIE LMSW (NPI 1811241102) is an individual social worker in Gouverneur, New York, licensed in New York (084931-1) and active in the NPI registry since November 2012. She has opted out of Medicare through May 29, 2028.

NPPES Registry Identity

NPI1811241102

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. TYNE K MCCREADIECredential: LMSW

Location Address28 WILLIAM STGouverneur, NY 13642-1405

Mailing Address1 Chimney Point DrOgdensburg, NY 13669-2212 · (315) 541-2001

Phone(315) 287-2811

Sole ProprietorNo

Enumeration DateNovember 8, 2012

✔ NPI 1811241102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 084931-1

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

28 WILLIAM ST, Gouverneur, NY 13642

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Tyne K Mccreadie Lmsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 29, 2024 through May 29, 2028.

Opt-Out Effective DateMay 29, 2024

Opt-Out In Effect ThroughMay 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 15

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

MS. AMY JO THORBAHN RN,BSN

Registered Nurse (Community Health)