Active NPI
Maria J Hensley-Spera, LCSW
- Clinical Social Worker
- Patchogue, NY
National Provider Identifier
1770590291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR056541-1
- Practice address
- 475 E Main St Ste 211
Patchogue, NY 11772-3121 - Phone
- (631) 294-1540
- Fax
- (631) 294-1540
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR056541-1 | NY | Primary |
Addresses
Primary practice location
475 E Main St Ste 211
Patchogue, NY 11772-3121
Mailing address
26 Neptune Ave
Mastic, NY 11950-5005
Phone (631) 294-1540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PR056541-1 | Other | NY | LCSW LICENSE |
Other names 1
- Maria J Spera
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR056541-1 | NY | MD | Clinical Social Worker |
| 056541 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Psychiatric Associates, University Faculty Practice Corpor | Current | Accepting new patients | |
| University Hospital at Stony Brook | Current | Accepting new patients | |
| Genoa Healthcare LLC | Past | Accepting new patients | |
| Federation Employment and Guidance Service, Inc | Past | Accepting new patients |
Locations
169 Putnam Hall
Stony Brook, NY 11794
Phone (631) 632-8850
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- maria.hensleyspera@direct.stonybrookmedicine.edu
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Stony Brook, NY
- NPI 1437105905
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1942243084
-
- Long Term Care Pharmacy
- Brockton, MA
- NPI 1992521512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1770590291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 NEPTUNE AVE",
"city": "MASTIC",
"state": "NY",
"postal_code": "119505005",
"telephone_number": "631-294-1540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 E MAIN ST STE 211",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117723121",
"telephone_number": "631-294-1540",
"fax_number": "631-294-1540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSLEY-SPERA",
"first_name": "MARIA",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR056541-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW LICENSE",
"identifier": "PR056541-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "SPERA",
"middle_name": "J",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.