Emma Nicole Maley Pile, LMSW
Individual provider Active NPI Social Worker · Woodstock, NY
NPI 1801475215 · NPPES record last updated Apr 4, 2021
Key facts
- NPI
- 1801475215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 104677 (NY)
- Practice address
- 404 Zena Rd
Woodstock, NY 12498-2626 - Phone
- (845) 679-8650
- NPI assigned
- Apr 4, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220719003562 | NY | Practitioner - Clinical Social Worker | 9739560939 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093182 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maverick Family Counseling LCSW PLLC | Current |
Accepting new patients | |
| Maverick Family Counseling | Social Worker | Past | Accepting new patients |
Locations
404 Zena Rd
Woodstock, NY 12498
Phone (845) 679-5271
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 104677 | NY | Yes |
Addresses
Primary practice location
404 Zena Rd
Woodstock, NY 12498-2626
Mailing address
404 Zena Rd
Woodstock, NY 12498-2626
Phone (845) 679-8650
Other practice location 1
1 N Front St
Kingston, NY 12401-3813
Phone (845) 679-8650 ext. 140
Other providers in Woodstock, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.