Individual provider Active NPI

Maria C Luciani, LMSW

  • Clinical Social Worker
  • Hudson Falls, NY
National Provider Identifier
1538464862
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082651-1 Issued in NY
Practice address
15 Bouelvard Street
Hudson Falls, NY 12839
Phone
(518) 747-2994
Fax
(518) 747-2996
NPI assigned
Jan 18, 2011
Last updated
Jan 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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 082651-1 NY Primary

Addresses

Primary practice location

15 Bouelvard Street
Hudson Falls, NY 12839

Mailing address

15 Bouelvard Street
Hudson Falls, NY 12839
Phone (518) 747-2994

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
I20160111001855 NY Practitioner - Clinical Social Worker 2264734029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adirondack Samaritan Counseling Center, IncGroup PAC ID 2466446117, 9 clinicians

Practice addresses (Care Compare)

15 Boulevard St
Hudson Falls, NY 12839-1001
Phone (518) 747-2994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082651-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Samaritan Counseling Center, Inc CurrentSince Oct 31, 2015 Accepting new patients

Locations

15 Boulevard St
Hudson Falls, NY 12839
Phone (518) 747-2994

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": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1538464862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BOUELVARD STREET",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "12839",
            "telephone_number": "518-747-2994",
            "fax_number": "518-747-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BOUELVARD STREET",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "12839",
            "telephone_number": "518-747-2994",
            "fax_number": "518-747-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIANI",
        "first_name": "MARIA",
        "middle_name": "C",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082651-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson Falls, NY

Sources for this page

Verify at the official NPI Registry.