Individual provider Active NPI

Maria Parker, LCSW

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1033549506
Registry record updated Aug 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085586 Issued in NY
Practice address
381 Kenmore Ave
Buffalo, NY 14223-2861
Phone
(716) 445-8337
NPI assigned
Nov 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2019

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 090310 NY
Clinical Social Worker 1041C0700X 085586 NY Primary

Addresses

Primary practice location

381 Kenmore Ave
Buffalo, NY 14223-2861

Mailing address

381 Kenmore Ave
Buffalo, NY 14223-2861
Phone (716) 445-8337

Other practice location 1

1526 Walden Ave
Suite 400
Cheektowaga, NY 14225-4965
Phone (716) 895-7167

Other identifiers 2

IdentifierTypeStateIssuer
05018277MedicaidNY
02249154MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Buffalo

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170922001698 NY Practitioner - Clinical Social Worker 0446524888 Reassigns benefits to 2 organizations
Practice locations: Buffalo, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25 S Cayuga Rd
Buffalo, NY 14221-6705
Phone (716) 445-8337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085586NYMDClinical Social Worker
090310NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brylin Hospitals, Inc. CurrentSince Jul 9, 2017 Accepting new patients
Maria Parker LCSW, PLLC Clinical CurrentSince Nov 1, 2021 Accepting new patients
Mid Erie Mental Health Services Inc Social Worker PastSince Apr 1, 1996 Accepting new patients

Locations

381 Kenmore Ave
Tonawanda, NY 14223
Phone (716) 291-0059

25 S Cayuga Rd
Williamsville, NY 14221
Phone (716) 242-9653

531 Farber Lakes Dr
Williamsville, NY 14221
Phone (716) 632-1595

Organizations & group practices 3

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": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566691200000",
    "number": "1033549506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142232861",
            "telephone_number": "716-445-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142232861",
            "telephone_number": "716-445-8337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1526 Walden Ave",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Cheektowaga",
            "state": "NY",
            "postal_code": "142254965",
            "country_code": "US",
            "telephone_number": "716-895-7167",
            "fax_number": "716-332-4488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2019-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090310",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05018277",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02249154",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Buffalo",
            "affiliation": "N",
            "address_1": "381 Kenmore Ave",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142232861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.