Maura B Quealy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R053333-1 Issued in NY

Practice address

5 Stony CT
Hampton Bays, NY 11946-2232

Phone

(631) 728-2786

Fax

(631) 728-2786

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063511764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STONY CT",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462232",
            "telephone_number": "631-728-2786",
            "fax_number": "631-728-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 STONY CT",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462232",
            "telephone_number": "631-728-2786",
            "fax_number": "631-728-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEALY",
        "first_name": "MAURA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R053333-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02420542",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Poulos, NP
• Nadyne Vanessa Pressley, RN
• Prime Care Medical of Long Island, PC
• Prime Path Care LLC
• Marc Puchir, D.O.
• Catherine Quinn, RN
• Joseph B Quinn, MD
• Jana Rader, MSW
• Jennifer Allison Ramsdell, LPN
• Jane Crino Raynor, RN,BSN,MSN,FNP-C

• Clinical Social Worker in Hampton Bays, NY
• Providers in Hampton Bays, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.