Active NPI
Mauri Waldman
- Social Worker
- Goshen, NY
National Provider Identifier
1124136379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R0463311
- Practice address
- 155 Main St
Suite 2
Goshen, NY 10924-2138 - Phone
- (845) 294-7408
- NPI assigned
- Aug 28, 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 | R0463311 | NY | Primary |
Addresses
Primary practice location
155 Main St
Suite 2
Goshen, NY 10924-2138
Mailing address
155 Main St
Suite 2
Goshen, NY 10924-2138
Phone (845) 294-7408
Other practice location 1
2770 Indian River Blvd Ste 333
Vero Beach, FL 32960-4299
Phone (845) 294-7408
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120127000673 | NY | Practitioner - Clinical Social Worker | 4688831977 | Practice locations: Goshen, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
155 Main St
Suite 2
Goshen, NY 10924-2138
Phone (845) 294-7408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0463311 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546732800000",
"number": "1124136379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 MAIN ST",
"address_2": "SUITE 2",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109242138",
"telephone_number": "845-294-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MAIN ST",
"address_2": "SUITE 2",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109242138",
"telephone_number": "845-294-7408"
}
],
"practiceLocations": [
{
"address_1": "2770 Indian River Blvd Ste 333",
"address_purpose": "LOCATION",
"city": "Vero Beach",
"state": "FL",
"postal_code": "329604299",
"country_code": "US",
"telephone_number": "845-294-7408",
"fax_number": "772-569-9303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALDMAN",
"first_name": "MAURI",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2019-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R0463311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2019; 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.