Individual ProviderDaniel TismanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address181 N 11th St Apt 404, Brooklyn, NY 11211-1175(917) 848-5474PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Tisman is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1154409498Provider TypeIndividualFull NameTisman, DanielCredentialLMSWGenderMaleSole ProprietorYesEnumeration Date11/2/2006Last Updated2/19/2026Contact InformationPractice LocationPractice Address181 N 11th St Apt 404, Brooklyn, NY 11211-1175Phone(917) 848-5474Fax(208) 441-8036Mailing LocationMailing Address181 N 11th St Apt 404, Brooklyn, NY 11211-1175Phone(917) 848-5474Fax(208) 441-8036Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense069053New York