Individual provider Active NPI

Maria Lorena Cardona, LCSW

  • Clinical Social Worker
  • Valley Stream, NY
National Provider Identifier
1194212720
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086693 Issued in NY
Practice address
46 E Melrose St
Valley Stream, NY 11580-4611
Phone
(516) 508-8105
NPI assigned
Apr 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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 086693 NY Primary

Addresses

Primary practice location

46 E Melrose St
Valley Stream, NY 11580-4611

Mailing address

46 E Melrose St
Valley Stream, NY 11580-4611
Phone (516) 508-8105

Other practice location 1

1500 Hempstead Tpke
East Meadow, NY 11554-1551
Phone (516) 739-7733

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180625000191 NY Practitioner - Clinical Social Worker 2264787795 Reassigns benefits to 1 organization
Practice locations: Valley Stream, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

46 E Melrose St
Valley Stream, NY 11580-4611
Phone (516) 508-8105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Long Island CurrentSince Jun 1, 2018 Accepting new patients
MLC Mental Services Inc CurrentSince Sep 15, 2024 Accepting new patients
Epilepsy Foundation of L.I. CurrentSince Jun 1, 2018 Accepting new patients

Locations

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

250 Fulton Ave
Ste 340
Hempstead, NY 11550
Phone (631) 629-2269

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1194212720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 E MELROSE ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804611",
            "telephone_number": "516-508-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E MELROSE ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804611",
            "telephone_number": "516-508-8105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541551",
            "country_code": "US",
            "telephone_number": "516-739-7733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "MARIA",
        "middle_name": "LORENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.