Active NPI
Mileidy Paula, LCSW
- Clinical Social Worker
- Warwick, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 091397-01
- Practice address
- 65 Main St
Warwick, NY 10990-1346 - Phone
- (347) 916-6364
- NPI assigned
- May 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 091397-01 | NY | Primary |
Addresses
Primary practice location
65 Main St
Warwick, NY 10990-1346
Mailing address
108 Main St Unit 1263
Warwick, NY 10990-7053
Phone (347) 916-6364
Other practice location 1
2030 Broadway
New York, NY 10023-5060
Phone (347) 916-6364
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5030 Broadway
Suite 201
New York, NY 10034-1675
Phone (212) 795-9888
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.65 of 100
- Quality
- 71.56
- Promoting interoperability
- 74
- Improvement activities
- 40
- Cost
- 87.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091397 | NY | MD | Mental Health Counselor |
| 091397-01 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Board of Family and Children'S Services, Inc. | Clinical | Current | Accepting new patients |
| Jewish Board of Family & Childrens Services Inc | Multi-Specialty | Current | Accepting new patients |
Locations
1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700
5030 Broadway
Ste 201
New York, NY 10034
Phone (212) 632-4749
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1689755662
Multi-Specialty
-
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
- NPI 1760173579
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1609224948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 MAIN ST UNIT 1263",
"city": "WARWICK",
"state": "NY",
"postal_code": "109907053",
"telephone_number": "347-916-6364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MAIN ST",
"city": "WARWICK",
"state": "NY",
"postal_code": "109901346",
"telephone_number": "347-916-6364"
}
],
"practiceLocations": [
{
"address_1": "2030 Broadway",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100235060",
"country_code": "US",
"telephone_number": "347-916-6364",
"fax_number": "845-618-1285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAULA",
"first_name": "MILEIDY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-26",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "091397-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.