Individual provider Active NPI

Adam Christopher Maslowski, LCSW

  • Clinical Social Worker
  • Long Island City, NY
National Provider Identifier
1881164564
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088489 Issued in NY
Practice address
34-11 Vernon Blvd.
Long Island City, NY 11106
Phone
(646) 505-2003
NPI assigned
Nov 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 096878-1 NY
Clinical Social Worker 1041C0700X 088489 NY Primary

Addresses

Primary practice location

34-11 Vernon Blvd.
Long Island City, NY 11106

Mailing address

34-11 Vernon Blvd.
Long Island City, NY 11106
Phone (646) 505-2003

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
I20190827003064 NY Practitioner - Clinical Social Worker 7315275468 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096878-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Houses of Long Island, Inc. CurrentSince Aug 1, 2019 Accepting new patients

Locations

3425 Vernon Blvd
Long Island City, NY 11106
Phone (212) 831-1555

3411 Vernon Blvd
Long Island City, NY 11106
Phone (646) 505-2003

998 Crooked Hill Rd
West Brentwood, NY 11717
Phone (631) 306-5732

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1881164564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34-11 VERNON BLVD.",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "11106",
            "telephone_number": "646-505-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-11 VERNON BLVD.",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "11106",
            "telephone_number": "646-505-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLOWSKI",
        "first_name": "ADAM",
        "middle_name": "CHRISTOPHER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-26",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "096878-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.