Mia A. Shapiro, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079494 Issued in NY

Practice address

7 Rye Ridge PLZ # 356
Rye Brook, NY 10573-2822

Phone

(914) 417-4232

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1780723379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RYE RIDGE PLZ # 356",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RYE RIDGE PLZ # 356",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732822",
            "telephone_number": "914-417-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "MIA",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01932",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS65410",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin E Sapanaro, APRN
• Samuel Bernard Schwartz, DC
• Douglas Mark Senderoff, MD
• Lorri Shaye Seymon Goldstein, MS, CCC-SLP
• SG Senior Living, LLC
• Melissa Holly Shaw, D.D.S.
• Harvey Lawrence Shuster, DDS
• Amy Siniscalchi, LMSW
• Ethan Alan Small, MD
• Eric Soldano, OTR/L

• Clinical Social Worker in Rye Brook, NY
• Providers in Rye Brook, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.