Individual provider Active NPI

Maria Cristina Liguori, LCSW

  • Clinical Social Worker
  • Deer Park, NY
National Provider Identifier
1003153263
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084501 Issued in NY
Practice address
770 Grand Blvd
Suite 17
Deer Park, NY 11729-5750
Phone
(631) 392-4357
Fax
(631) 392-4358
NPI assigned
Jan 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 088033 NY
Clinical Social Worker 1041C0700X 084501 NY Primary

Addresses

Primary practice location

770 Grand Blvd
Suite 17
Deer Park, NY 11729-5750

Mailing address

770 Grand Blvd
Suite 17
Deer Park, NY 11729-5750
Phone (631) 392-4357

Other practice location 1

46 Pulaski Rd
Kings Park, NY 11754-2531
Phone (631) 663-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084501NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Enhancement & Substance Abuse Medicine Treatment PLLC PastSince Jul 17, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1003153263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 GRAND BLVD",
            "address_2": "SUITE 17",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295750",
            "telephone_number": "631-392-4357",
            "fax_number": "631-392-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 GRAND BLVD",
            "address_2": "SUITE 17",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295750",
            "telephone_number": "631-392-4357",
            "fax_number": "631-392-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Pulaski Rd",
            "address_purpose": "LOCATION",
            "city": "Kings Park",
            "state": "NY",
            "postal_code": "117542531",
            "country_code": "US",
            "telephone_number": "631-663-5757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGUORI",
        "first_name": "MARIA",
        "middle_name": "CRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "088033",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.