Individual provider Active NPI

Mia Adler-Maudsley, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1457670960
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PO59948 Issued in NY
Practice address
4 E 8TH St
#3F
New York, NY 10003-5913
Phone
(212) 253-6977
NPI assigned
May 24, 2010
Last updated
May 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2010

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 PO59948 NY Primary

Addresses

Primary practice location

4 E 8TH St
#3F
New York, NY 10003-5913

Mailing address

4 E 8TH St
#3F
New York, NY 10003-5913
Phone (212) 253-6977

Other names 1

  • Ms. Mia Adler Former name

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
I20110124000769 NY Practitioner - Clinical Social Worker 0042499089 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 E 8TH St
3F
New York, NY 10003-5929
Phone (917) 763-4655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO59948NYMDClinical Social Worker
059948NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Service Program for Older People, Inc PastSince Jul 6, 2009 Accepting new patients
Service Program for Older People Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1457670960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E 8TH ST",
            "address_2": "#3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035913",
            "telephone_number": "212-253-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E 8TH ST",
            "address_2": "#3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035913",
            "telephone_number": "212-253-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER-MAUDSLEY",
        "first_name": "MIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PO59948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIA",
            "last_name": "ADLER",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.