Individual provider Active NPI

Irit Josefa Maor, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1114664240
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R057474-01 Issued in NY
Practice address
1058 Morris Park Ave FL 2
Bronx, NY 10461-1478
Phone
(917) 805-3314
NPI assigned
May 19, 2022
Last updated
May 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 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 R057474-01 NY Primary

Addresses

Primary practice location

1058 Morris Park Ave FL 2
Bronx, NY 10461-1478

Mailing address

1058 Morris Park Ave FL 2
Bronx, NY 10461-1478
Phone (917) 805-3314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R057474-01NYMDClinical Social Worker
057474NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Jan 27, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1114664240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 MORRIS PARK AVE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611478",
            "telephone_number": "917-805-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 MORRIS PARK AVE FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611478",
            "telephone_number": "917-805-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAOR",
        "first_name": "IRIT",
        "middle_name": "JOSEFA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R057474-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.