Active NPI
Maya Stolkiner, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1710076062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 076444
- Practice address
- 244 Jefferson St Apt 3L
Brooklyn, NY 11237-2122 - Phone
- (917) 365-0566
- NPI assigned
- Oct 12, 2006
- Last updated
- Mar 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3641366 | Other | OXFORD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 070642 | NY | MD | Social Worker |
| 076444 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cartwheel Health Services PC | Clinical | Past | Accepting new patients |
| Comprehensive Counseling LCSW, PLLC | Clinical | Past | 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.
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Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.