Active NPI
Mariana Fuentes, LMSW
- Social Worker
- New York, NY
National Provider Identifier
1003729005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 130061-01
- Practice address
- 125 Broad St
New York, NY 10004-2400 - Phone
- (956) 605-0482
- NPI assigned
- Sep 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 130061-01 | NY | Primary |
Addresses
Primary practice location
125 Broad St
New York, NY 10004-2400
Mailing address
523 Franklin Ave
Brooklyn, NY 11238-6791
Phone (956) 605-0482
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html | Institute For Community Living, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1003729005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 FRANKLIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112386791",
"telephone_number": "956-605-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BROAD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042400",
"telephone_number": "956-605-0482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "MARIANA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "130061-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "Y",
"affiliationName": "Institute For Community Living, Inc.",
"address_1": "125 Broad St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100042400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.