MRS. TYRA DENINE GONZALEZ LCSW
NPI 1841474988
Social Worker - Clinical in Garden City, NY

Q: What is Tyra Gonzalez's NPI number?

The NPI number for Tyra Gonzalez is 1841474988. It was assigned to this individual provider in the NPPES registry on December 26, 2007.

Q: What is Tyra Gonzalez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tyra Gonzalez was last updated on December 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 December 26, 2007PECOS EnrolledAccepts Medicare Assignment

506 STEWART AVE, EPILEPSY FOUNDATION OF LI, GARDEN CITY, NY 11530(516) 739-7733(516) 739-3224 Get Directions Write a Review

NPPES record last updated: December 26, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mrs. Tyra Denine Gonzalez Lcsw NPPES

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

MRS. TYRA DENINE GONZALEZ LCSW (NPI 1841474988) is an individual clinical provider in Garden City, New York, licensed in New York (R056804-1) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1841474988

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. TYRA DENINE GONZALEZCredential: LCSW

Location Address506 STEWART AVE, EPILEPSY FOUNDATION OF LIGarden City, NY 11530-4706

Mailing Address99 California AveBay Shore, NY 11706-4547 · (516) 739-7733 · Fax (516) 739-3224

Phone(516) 739-7733

Fax(516) 739-3224

Sole ProprietorYes

Medical School CMSOtherGraduated 1997

Enumeration DateDecember 26, 2007

✔ NPI 1841474988 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 · R056804-1

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.

506 STEWART AVE, Garden City, NY 11530

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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

Mrs. Tyra Denine Gonzalez 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 ID1557328937

PECOS Enrollment IDI20041216001089

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

Medicare enrollment records show Tyra Gonzalez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Epilepsy Foundation Of L.I.

Same address

Voluntary or Charitable

506 STEWART AVE
Garden City, NY 11530

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Epic Long Island
110 clinicians in this Medicare group

NPI 1467755785 (516) 739-7733

Epic Medical Services PC

2.1 mi

Specialist

1500 HEMPSTEAD TPKE
East Meadow, NY 11554

Reassigned Medicare billing, New York enrollment
75 clinicians in this Medicare group

NPI 1134589609 (516) 739-7733

Laura E Asner Csw PC

20 mi

Clinical

260 MONTAUK HWY, STE-8
Bay Shore, NY 11706

Reassigned Medicare billing, New York enrollment
6 clinicians in this Medicare group

NPI 1326079856 (631) 647-9009

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 11530 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 20

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

MS. IRENE MARIE RODGERS LCSW

Social Worker (Clinical)