Individual provider Active NPI

Maya Kusznir

  • Social Worker
  • Reading, PA
National Provider Identifier
1790565133
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2209 Quarry Dr Ste A10
Reading, PA 19609-1153
Phone
(844) 696-4631
NPI assigned
Oct 3, 2023
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

2209 Quarry Dr Ste A10
Reading, PA 19609-1153

Mailing address

14996 Kutztown Rd
Kutztown, PA 19530-8321
Phone (610) 780-2292

Other identifiers 1

IdentifierTypeStateIssuer
SW140763OtherPALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260410003479 PA Practitioner - Clinical Social Worker 0941775530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

184 Pond View Dr
Hamburg, PA 19526-8379

4647 W Cedar Lake Rd
Greenbush, MI 48738-9716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Matters Coaching, Counseling, & Psychological Associates LLC CurrentSince Oct 8, 2023 Accepting new patients

Locations

1150 Glenlivet Dr
Ste A23
Allentown, PA 18106
Phone (844) 696-4631

2209 Quarry Dr
Ste A10
Reading, PA 19609
Phone (610) 563-2052

Organizations & group practices 1

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": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1790565133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14996 KUTZTOWN RD",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195308321",
            "telephone_number": "610-780-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 QUARRY DR STE A10",
            "city": "READING",
            "state": "PA",
            "postal_code": "196091153",
            "telephone_number": "844-696-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSZNIR",
        "first_name": "MAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SW140763",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.