Individual provider Active NPI

Maureen M. Caruso, L.C.S.W.

  • Clinical Social Worker
  • Saratoga Springs, NY
National Provider Identifier
1821128463
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P065687-1 Issued in NY
Practice address
480 Broadway
Suite 314
Saratoga Springs, NY 12866-2246
Phone
(518) 429-3826
Fax
(518) 587-8241
NPI assigned
Mar 6, 2007
Last updated
Mar 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P065687-1 NY Primary

Addresses

Primary practice location

480 Broadway
Suite 314
Saratoga Springs, NY 12866-2246

Mailing address

PO Box 703
480 Broadway, Suite 314
Saratoga Springs, NY 12866-0703
Phone (518) 429-3826

Other identifiers 1

IdentifierTypeStateIssuer
00639496MedicaidNY

Other names 1

  • Maureen M. Jones Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090114000411 NY Practitioner - Clinical Social Worker 3375606551 Practice locations: Saratoga Springs, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P065687-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1821128463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703",
            "address_2": "480 BROADWAY, SUITE 314",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128660703",
            "telephone_number": "518-429-3826",
            "fax_number": "518-587-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 BROADWAY",
            "address_2": "SUITE 314",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662246",
            "telephone_number": "518-429-3826",
            "fax_number": "518-587-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "MAUREEN",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P065687-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00639496",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "JONES",
            "middle_name": "M.",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.