Individual provider Active NPI

Nina M. Maines, LCSW-R

  • Counselor
  • North Tonawanda, NY
National Provider Identifier
1851352405
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
R082036 Issued in NY
Practice address
3376 Niagara Falls Blvd Ste 5
North Tonawanda, NY 14120-1396
Phone
(716) 778-4418
Fax
(716) 304-1430
NPI assigned
Mar 31, 2006
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X R082036 NY Primary

Addresses

Primary practice location

3376 Niagara Falls Blvd Ste 5
North Tonawanda, NY 14120-1396

Mailing address

3376 Niagara Falls Blvd Ste 5
North Tonawanda, NY 14120-1396
Phone (716) 778-4418

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
I20180102001167 NY Practitioner - Clinical Social Worker 9133487838 Practice locations: North Tonawanda, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3376 Niagara Falls Blvd
Suite 5
North Tonawanda, NY 14120-1396
Phone (716) 778-4418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R082036NYMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1851352405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3376 NIAGARA FALLS BLVD STE 5",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201396",
            "telephone_number": "716-778-4418",
            "fax_number": "716-304-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3376 NIAGARA FALLS BLVD STE 5",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201396",
            "telephone_number": "716-778-4418",
            "fax_number": "716-304-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINES",
        "first_name": "NINA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "R082036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.