Individual provider Active NPI

Teresa Kathryn Maguire, LCSW

  • Clinical Social Worker
  • Island Park, NY
National Provider Identifier
1629253596
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
055980 Issued in NY
Practice address
19 Deal Rd
Island Park, NY 11558-1449
Phone
(516) 632-5797
Fax
(516) 432-4142
NPI assigned
Jan 9, 2008
Last updated
Dec 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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 055980 NY Primary

Addresses

Primary practice location

19 Deal Rd
Island Park, NY 11558-1449

Mailing address

1 Clay CT
Greenlawn, NY 11740-2323
Phone (516) 632-5797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080216000000 NY Practitioner - Clinical Social Worker 1456434299 Reassigns benefits to 2 organizations
Practice locations: Greenlawn, NY
I20210915001179 MA Practitioner - Clinical Social Worker 1456434299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Greenlawn, NY 11740
Phone (516) 376-1987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
055980NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Aug 30, 2021 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 19, 2024 Accepting new patients
Oceanside Counseling Center, Inc. Current Accepting new patients
Port Jefferson Psychological & Vocational P.C. Clinical CurrentSince Aug 2, 2018 Accepting new patients
Queens Centers for Progress Past Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

872 Massachusetts Ave
Ste 2-2
Cambridge, MA 02139
Phone 6173804651 ext. 1992

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

71 Homecrest Ct
Oceanside, NY 11572
Phone (516) 766-6283

71 Homecrest Ct
Fl 2
Oceanside, NY 11572
Phone (516) 766-6283

5225 Route 347
Ste 46
Port Jefferson Station, NY 11776
Phone (631) 209-1477

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 5

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": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1629253596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLAY CT",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117402323",
            "telephone_number": "516-632-5797",
            "fax_number": "516-432-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DEAL RD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581449",
            "telephone_number": "516-632-5797",
            "fax_number": "516-432-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "TERESA",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "055980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Island Park, NY

Sources for this page

Verify at the official NPI Registry.