Maureen Vollaro, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

056405 Issued in NY

Practice address

1461 Lakeland Ave
Suite 12
Bohemia, NY 11716-2174

Phone

(631) 742-8729

Fax

(631) 732-0355

NPI assigned

Oct 5, 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 names 1

• Maureen Ryder Former name

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, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maureen Vollaro LCSW PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miller Place, NY
  • NPI 1497222434
  Medicare reassignment Authorized official
• Joseph Vollaro PHD Neuropsychologist PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bohemia, NY
  • NPI 1053888099
  NPD
• Diana Vollaro SLP LLC

  • Hearing and Speech Clinic/Center
  • Medford, NY
  • NPI 1174838031
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1164518148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 LAKELAND AVE",
            "address_2": "SUITE 12",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162174",
            "telephone_number": "631-742-8729",
            "fax_number": "631-732-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 LAKELAND AVE",
            "address_2": "SUITE 12",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162174",
            "telephone_number": "631-742-8729",
            "fax_number": "631-732-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLARO",
        "first_name": "MAUREEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "056405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "RYDER",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John D Vickers, MD
• Alexandra Villano, MHC
• Ronald Villano, LMHC
• Joan Vixamar, LPN
• Joseph Vollaro, PH.D.
• Janet Ellen Vollkommer
• Jamie Vollmoeller, LCSW
• Jacqueline Mary Volpicella
• Kevin John Waite Jr., PHARMD
• Samantha Walton, LMSW

• Clinical Social Worker in Bohemia, NY
• Providers in Bohemia, 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 Feb 14, 2017; 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.