Maria Middendorf, MS, LCSW

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

5 Vine St
Centereach, NY 11720-1720

Phone

(631) 648-8206

Fax

(631) 648-8206

NPI assigned

Sep 30, 2010

Last updated

Jan 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Visiting Counselors of New York, LCSW, PLLCGroup PAC ID 4688932106, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Visiting Counselors of New York, LCSW, PLLC

  • Clinical Social Worker
  • Melville, NY
  • NPI 1669906889
  Medicare reassignment Care Compare group NPD
• Family Service League, Inc.

  • Community/Behavioral Health Agency
  • Huntington, NY
  • NPI 1528093242
  Medicare reassignment NPD

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1184933707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 VINE ST",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117201720",
            "telephone_number": "631-648-8206",
            "fax_number": "631-648-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 VINE ST",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117201720",
            "telephone_number": "631-648-8206",
            "fax_number": "631-648-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDENDORF",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "080393-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W224351",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Joseph McKenzie, LCSW
• Jasmine McMillan
• Fanjing Meng
• Mercy Medical Center (Mercy Hospital)
• Marguerite F Metzendorf, LCSWR
• Middle Country Family Medicine P C
• Middle Country Pediatrics, LLP
• Amanda Marie Miller
• Cristin Ann Miller, MS OTRL
• Yelena Mindel, DDS

• Early Intervention Provider Agency in Centereach, NY
• Providers in Centereach, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.