Individual provider Active NPI

Maria Elisa Cuadra, LCSWR CASAC CPP ACS

  • Clinical Social Worker
  • Great Neck, NY
National Provider Identifier
1487811816
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R-019119-1 Issued in NY
Practice address
21 N Station PLZ
Copay Inc,
Great Neck, NY 11021-5013
Phone
(516) 466-2509
Fax
(516) 482-3146
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 692 NY
Addiction (Substance Use Disorder) Counselor 101YA0400X 8265 NY
Clinical Social Worker 1041C0700X R-019119-1 NY Primary

Addresses

Primary practice location

21 N Station PLZ
Copay Inc,
Great Neck, NY 11021-5013

Mailing address

21 N Station PLZ
Copay Inc,
Great Neck, NY 11021-5013
Phone (516) 466-2509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
692NYMDCounselor
8265NYMDAddiction (Substance Use Disorder) Counselor
R-019119-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Copay, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1487811816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N STATION PLZ",
            "address_2": "COPAY INC,",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215013",
            "telephone_number": "516-466-2509",
            "fax_number": "516-482-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N STATION PLZ",
            "address_2": "COPAY INC,",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215013",
            "telephone_number": "516-466-2509",
            "fax_number": "516-482-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUADRA",
        "first_name": "MARIA",
        "middle_name": "ELISA",
        "credential": "LCSWR CASAC CPP ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "692",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "8265",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-019119-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.