Individual provider Active NPI

Maria Sunukjian, LCSWR

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1669799730
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R027213-1 Issued in NY
Practice address
5 Pine West PLZ
508
Albany, NY 12205-5593
Phone
(518) 764-2815
Fax
(518) 452-4233
NPI assigned
Apr 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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 R027213-1 NY Primary

Addresses

Primary practice location

5 Pine West PLZ
508
Albany, NY 12205-5593

Mailing address

11 South Marshall Street
Albany, NY 12209-1903
Phone (518) 764-2815

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
I20100624000743 NY Practitioner - Clinical Social Worker 7214980291 Practice locations: Albany, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Pine W PLZ
Suite 508
Albany, NY 12205-5587
Phone (518) 452-4232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R027213-1NYMDClinical Social Worker
022713NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1669799730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SOUTH MARSHALL STREET",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091903",
            "telephone_number": "518-764-2815",
            "fax_number": "518-434-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PINE WEST PLZ",
            "address_2": "508",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055593",
            "telephone_number": "518-764-2815",
            "fax_number": "518-452-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNUKJIAN",
        "first_name": "MARIA",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027213-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.