Individual provider Active NPI

Maya Stolkiner, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1710076062
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076444 Issued in NY
Practice address
244 Jefferson St Apt 3L
Brooklyn, NY 11237-2122
Phone
(917) 365-0566
NPI assigned
Oct 12, 2006
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 076444 NY Primary
Social Worker 104100000X 070642 NY

Addresses

Primary practice location

244 Jefferson St Apt 3L
Brooklyn, NY 11237-2122

Mailing address

244 Jefferson St Apt 3L
Brooklyn, NY 11237-2122
Phone (917) 365-0566

Other practice location 1

98120 Queens Blvd
Apt 1C
Rego Park, NY 11374
Phone (718) 830-0246

Other identifiers 1

IdentifierTypeStateIssuer
P3641366OtherOXFORD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Brooklyn

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
I20250516000142 NY Practitioner - Clinical Social Worker 7012435779

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2261 Market St
San Francisco, CA 94114-1612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070642NYMDSocial Worker
076444NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cartwheel Health Services PC Clinical Past Accepting new patients
Comprehensive Counseling LCSW, PLLC Clinical PastSince Mar 1, 2008 Accepting new patients

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, 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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1710076062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 JEFFERSON ST APT 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112372122",
            "telephone_number": "917-365-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 JEFFERSON ST APT 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112372122",
            "telephone_number": "917-365-0566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98120 Queens Blvd",
            "address_2": "Apt 1C",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "11374",
            "country_code": "US",
            "telephone_number": "718-830-0246",
            "fax_number": "718-830-9088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLKINER",
        "first_name": "MAYA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076444",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "070642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3641366",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brooklyn",
            "affiliation": "N",
            "address_1": "244 Jefferson St Apt 3L",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112372122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.