Individual provider Active NPI

Maureen H Wopperer, LCSW

  • Clinical Social Worker
  • Skaneateles, NY
National Provider Identifier
1659953750
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100225 Issued in NY
Practice address
PO Box 201
Skaneateles, NY 13152-0201
Phone
(315) 840-0885
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 100225 NY Primary

Addresses

Primary practice location

PO Box 201
Skaneateles, NY 13152-0201

Mailing address

PO Box 201
Skaneateles, NY 13152-1383
Phone (315) 840-0885

Other practice location 1

935 N. Breneva Rd
Ste 609-1181
Sarasota, FL 34323
Phone (315) 840-0885

Other identifiers 2

IdentifierTypeStateIssuer
100225OtherNYNYSTATEOFFICEOFPROFESSIONS
25881OtherFLFLORIDADEPARTMENTOFHEALTH

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
I20250627000288 NY Practitioner - Clinical Social Worker 2163935826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty Resources IncGroup PAC ID 4486703352, 82 clinicians

Practice addresses (Care Compare)

14 Crossroads Dr
Fulton, NY 13069-5009
Phone (315) 887-1840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Resources Inc. Single Specialty Current Accepting new patients
Liberty Resources, Inc. CurrentSince May 23, 2025 Accepting new patients
Liberty Resources Inc. CurrentSince May 23, 2025 Accepting new patients

Locations

14 Crossroads Dr
Fulton, NY 13069
Phone (315) 425-1004

14 Crossroads Dr
#57
Fulton, NY 13069
Phone (315) 887-1840

1045 James St
Ste 100
Syracuse, NY 13203
Phone (315) 425-1004

1045 James St
Syracuse, NY 13203
Phone (315) 425-1004

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1659953750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131521383",
            "telephone_number": "315-840-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131520201",
            "telephone_number": "315-840-0885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 N. Breneva Rd",
            "address_2": "STE 609-1181",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "34323",
            "country_code": "US",
            "telephone_number": "315-840-0885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOPPERER",
        "first_name": "MAUREEN",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "100225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSTATEOFFICEOFPROFESSIONS",
            "identifier": "100225",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDADEPARTMENTOFHEALTH",
            "identifier": "25881",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skaneateles, NY

Sources for this page

Verify at the official NPI Registry.