Individual provider Active NPI

Maria Corso, LCSW

  • Clinical Social Worker
  • Massapequa, NY
National Provider Identifier
1861721110
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R080492-1 Issued in NY
Practice address
100 Veterans Blvd
Massapequa, NY 11758-4944
Phone
(516) 965-3454
Fax
(516) 977-3404
NPI assigned
Dec 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 080334 NY
Clinical Social Worker 1041C0700X R080492-1 NY Primary

Addresses

Primary practice location

100 Veterans Blvd
Massapequa, NY 11758-4944

Mailing address

2989 Charlotte Dr
Merrick, NY 11566-5301
Phone (516) 965-3454

Other identifiers 2

IdentifierTypeStateIssuer
00080334MedicaidNY
03266424MedicaidNY

Other names 1

  • Maria McDermott 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
I20150327000191 NY Practitioner - Clinical Social Worker 9436476603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R080492-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Corso, LCSW, P.C. Clinical CurrentSince Dec 13, 2020 Accepting new patients
Nassau Guidance Counseling & Licensed Clinical Social Work Services PC Clinical CurrentSince Feb 1, 2015 Accepting new patients

Locations

100 Veterans Blvd
Massapequa, NY 11758
Phone (516) 674-0066

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1861721110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2989 CHARLOTTE DR",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665301",
            "telephone_number": "516-965-3454",
            "fax_number": "516-977-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VETERANS BLVD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584944",
            "telephone_number": "516-965-3454",
            "fax_number": "516-977-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSO",
        "first_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080334",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R080492-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00080334",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03266424",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "MCDERMOTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.