Individual provider · Type 1 NPI

Tashmere Vailes, LMSW

Clinical Social Worker · Freeport, NY

NPI number 1114821642 Active

Practice location

99 Randall Ave Apt 2L
Freeport, NY 11520-2715

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X124416 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1114821642

Tashmere Vailes, LMSW's National Provider Identifier is 1114821642, issued on Oct 7, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Freeport, NY. The record was last updated on Oct 7, 2026.