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TRISTAN VIZCONDE
NPI 1811436736
Social Worker - Clinical in Forest Hills, NY

Active since February 13, 2017PECOS Enrolled
10524 63RD DR APT 1J, FOREST HILLS, NY 11375(646) 643-0796(646) 328-9323 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2025, Oct 16, 2021, Feb 13, 2017 (3 updates tracked since 2017).

About Tristan Vizconde NPPES

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

TRISTAN VIZCONDE (NPI 1811436736) is an individual clinical provider in Forest Hills, New York, licensed in New York (090700) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bayside.

NPPES Registry Identity

NPI1811436736
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTRISTAN VIZCONDE
Location Address10524 63RD DR APT 1JForest Hills, NY 11375-1636
Mailing Address1080 Old Country Rd # 1053Westbury, NY 11590-5625 · (646) 801-7615 · Fax (646) 328-9323
Phone(646) 643-0796
Fax(646) 328-9323
Sole ProprietorYes
Enumeration DateFebruary 13, 2017
Last NPPES UpdateAugust 15, 20253 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1811436736 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 · 090700
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 092928-1 (NY)
10524 63RD DR APT 1J, Forest Hills, NY 11375
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Secondary Practice Location 1

Location 13635 Bell Blvd Ste 203Bayside, NY 11361-2097 · Phone (718) 504-9256

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tristan Vizconde 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11375 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

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

KAPWA PSYCHOTHERAPY, PLLC
Social Worker (Clinical)
10524 63RD DR APT 1J
FOREST HILLS, NY 11375
Queens County (646) 643-0796

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 Tristan Vizconde's NPI number?

The NPI number for Tristan Vizconde is 1811436736. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Where is Tristan Vizconde located?

Tristan Vizconde practices at 10524 63rd Dr Apt 1J, Forest Hills, NY 11375. The listed phone number is (646) 643-0796.

What is Tristan Vizconde's specialty?

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

Is Tristan Vizconde enrolled in Medicare?

Yes. Tristan Vizconde is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tristan Vizconde was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.