Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tristan Vizconde

Individual provider Social Worker · NPI 1811436736

Tristan Vizconde is a Social Worker in Forest Hills, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2017
Specialties on file
2

Practice location Address checks out

10524 63rd Dr Apt 1J
Forest Hills, NY 11375-1636
Phone: (646) 643-0796
Fax: (646) 328-9323
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3635 Bell Blvd Ste 203, Bayside, NY 11361-2097 — (718) 504-9256

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 090700 (NY)
Social Worker Taxonomy 104100000X · Licence 092928-1 (NY)

Record details

NPI number1811436736
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 13, 2017
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

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