Individual provider Active NPI

Maria Lorena Mini de Zitella

  • Clinical Social Worker
  • Port Chester, NY
National Provider Identifier
1699372441
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089461-01 Issued in NY
Practice address
5 Grace Church St
Port Chester, NY 10573-4911
Phone
(914) 632-2737
NPI assigned
Oct 5, 2020
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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 089461-01 NY Primary

Addresses

Primary practice location

5 Grace Church St
Port Chester, NY 10573-4911

Mailing address

20 Church St Apt A33
Greenwich, CT 06830-5663
Phone (914) 330-2903

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
I20201112000761 NY Practitioner - Clinical Social Worker 6103236674 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089461-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital & Medical Center Clinical CurrentSince Aug 1, 2021 Accepting new patients
St. Joseph's Hospital Yonkers Current Accepting new patients
St Josephs Hospital Yonkers CurrentSince Aug 1, 2021 Accepting new patients
The Guidance Center of Westchester, Inc CurrentSince Mar 16, 2022 Accepting new patients

Locations

275 North St
Harrison, NY 10528
Phone (914) 925-5211

256 Washington St
Ste 2
Mount Vernon, NY 10553
Phone 91461307003338

20 Sickles Ave
New Rochelle, NY 10801
Phone (914) 632-1374

107 S Broadway
Yonkers, NY 10701
Phone (914) 378-7110

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Organizations & group practices 4

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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1699372441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHURCH ST APT A33",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305663",
            "telephone_number": "914-330-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GRACE CHURCH ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105734911",
            "telephone_number": "914-632-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINI DE ZITELLA",
        "first_name": "MARIA",
        "middle_name": "LORENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089461-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

Verify at the official NPI Registry.