Individual provider Active NPI

Adriana Maya Kaye, DSW, LCSW

  • Clinical Social Worker
  • Millerton, NY
National Provider Identifier
1104445956
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
096910 Issued in NY
Practice address
112 Gun Club Road
Millerton, NY 12546-0505
Phone
(518) 560-0322
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 096910 NY Primary

Addresses

Primary practice location

112 Gun Club Road
Millerton, NY 12546-0505

Mailing address

PO Box 505
Millerton, NY 12546-0505
Phone (518) 560-0322

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
I20260429003012 NY Practitioner - Clinical Social Worker 2062989866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1951 NW 7TH Ave
FL 3
Miami, FL 33136-1104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096910NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Karuna LCSW PLLC Clinical CurrentSince Aug 18, 2024 Accepting new patients
Cornerstone Herkimer Clinical PastSince Apr 1, 2020 Accepting new patients
Herkimer Cornerstone, LLC PastSince Apr 1, 2020 Accepting new patients
Resilience Psychotherapy LCSW PC Clinical Past Accepting new patients

Organizations & group practices 5

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1104445956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "MILLERTON",
            "state": "NY",
            "postal_code": "125460505",
            "telephone_number": "518-560-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 GUN CLUB ROAD",
            "city": "MILLERTON",
            "state": "NY",
            "postal_code": "125460505",
            "telephone_number": "518-560-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYE",
        "first_name": "ADRIANA MAYA",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millerton, NY

Sources for this page

Verify at the official NPI Registry.