Maria Antell
Individual provider Active NPI Social Worker · Herkimer, NY
NPI 1013536192 · NPPES record last updated Jul 22, 2020
Key facts
- NPI
- 1013536192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 088639-1 (NY)
- Practice address
- 417 E German St
Herkimer, NY 13350-1028 - Phone
- (315) 868-1000
- NPI assigned
- Apr 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220812003087 | NY | Practitioner - Clinical Social Worker | 6901289636 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088639-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam Family and Community Services Inc | Current |
Accepting new patients | |
| Putnam Family and Community Services Inc | Past |
Accepting new patients | |
| Cornerstone Herkimer | Past |
Accepting new patients | |
| Herkimer Cornerstone, LLC | Past |
Accepting new patients |
Locations
1808 Route 6
Carmel, NY 10512
Phone (845) 225-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 088639-1 | NY | Yes |
Addresses
Primary practice location
417 E German St
Herkimer, NY 13350-1028
Mailing address
417 E German St
Herkimer, NY 13350-1028
Other practice location 1
19 Waccabuc Rd
Carmel, NY 10512-4967
Phone (845) 699-0341
Other providers in Herkimer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.