Luz Maria Baena, M.S., L.C.S.W.
Individual provider Active NPI Contractor · Valley Stream, NY
NPI 1457597718 · NPPES record last updated Dec 16, 2008
Key facts
- NPI
- 1457597718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 222455031SP.ED.TECH (NY)
- Practice address
- 195 E Beverly Pkwy
Valley Stream, NY 11580-4247 - Phone
- (516) 872-4062
- NPI assigned
- Dec 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222455031SP.ED.TECH | NY | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 222455031SP.ED.TECH | NY | Yes |
Addresses
Primary practice location
195 E Beverly Pkwy
Valley Stream, NY 11580-4247
Mailing address
195 E Beverly Pkwy
Valley Stream, NY 11580-4247
Phone (516) 872-4062
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.