Active NPI
Maryan Forbes Hoelzer, LMSW
- Social Worker
- Flushing, NY
National Provider Identifier
1104927235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 066356-1
- Practice address
- 14461 Roosevelt Ave
Flushing, NY 11354-6252 - Phone
- (718) 939-8700
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 066356-1 | NY | Primary |
Addresses
Primary practice location
14461 Roosevelt Ave
Flushing, NY 11354-6252
Mailing address
90 Bryant Ave Apt 6CB
White Plains, NY 10605-1933
Phone (914) 831-8880
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066356-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Shield of David, Inc. | Past | Accepting new patients |
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.
-
- Clinic/Center
- Bayside, NY
- NPI 1184661290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104927235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 BRYANT AVE APT 6CB",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051933",
"telephone_number": "914-831-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14461 ROOSEVELT AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113546252",
"telephone_number": "718-939-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOELZER",
"first_name": "MARYAN",
"middle_name": "FORBES",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "066356-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.