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

Tyler Madore, LCSW

Individual provider Social Worker · NPI 1639696628

Tyler Madore, LCSW is a Clinical Social Worker in Ronkonkoma, New York. Qualified in 2015, 11 years ago. Practices with Long Island Elder Care LCSW PLLC, a 19-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

500 Peconic St Apt 113B
Ronkonkoma, NY 11779-7127
Phone: (203) 841-8259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21406 69th Ave Apt B, Oakland Gardens, NY 11364-2529 — (203) 841-8259

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 087600 (NY)
Social Worker Taxonomy 104100000X · Licence 096032 (NY)

Record details

NPI number1639696628
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 29, 2017
Last updated in NPPESNovember 14, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Long Island Elder Care Lcsw Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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