Individual provider Active NPI

Anamarcela Maldonado

  • Social Worker
  • Newburgh, NY
National Provider Identifier
1043745888
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
097261 Issued in NY
Practice address
109 S William St FL 1
Newburgh, NY 12550-5949
Phone
(845) 945-1693
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 097261 NY Primary

Addresses

Primary practice location

109 S William St FL 1
Newburgh, NY 12550-5949

Mailing address

109 S William St
Newburgh, NY 12550-5949
Phone (845) 945-1693

Other practice location 1

21 Audubon Avenue
Family Planning Clinic
New York, NY 10032
Phone (646) 317-2483

Other practice location 2

205 Hudson St Fl 9
New York, NY 10013-1810
Phone (845) 495-1693

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
097261NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Haven Wellness LCSW PLLC CurrentSince Mar 30, 2025 Accepting new patients

Locations

109 S William St
Fl 1
Newburgh, NY 12550
Phone (845) 945-1693

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1043745888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S WILLIAM ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505949",
            "telephone_number": "845-945-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S WILLIAM ST FL 1",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505949",
            "telephone_number": "845-945-1693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Audubon Avenue",
            "address_2": "Family Planning Clinic",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10032",
            "country_code": "US",
            "telephone_number": "646-317-2483",
            "fax_number": "212-342-3238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Hudson St Fl 9",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100131810",
            "country_code": "US",
            "telephone_number": "845-495-1693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "ANAMARCELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.