Tori Maidenberg, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

116506 Issued in NY

Practice address

200 W 57TH St Ste 1008
New York, NY 10019-3237

Phone

(646) 837-5557

NPI assigned

Jul 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 28, 2026 through Apr 28, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nyc Psychology PC

  • Psychologist
  • New York, NY
  • NPI 1376005751

  Social Worker

  NPD

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1912630872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W END AVE APT 4F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234913",
            "telephone_number": "713-562-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST STE 1008",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193237",
            "telephone_number": "646-837-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIDENBERG",
        "first_name": "TORI",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "116506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSED OFFICE OF THE PROFESSIONS",
            "identifier": "116506",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmaidenberg@centerforanxiety.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 W 57th St Ste 1008",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100193237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alyssa Maida, PA
• Maiden Lane Medical, PLLC
• Maiden Lane Medical, PLLC
• Maiden Lane Podiatry, PC
• Martin Maidenberg, LMHC
• Georgette L Maidiotis
• Jack Maidman, M.D.
• Samuel David Maidman, MD
• Regina Maieli, FNP
• Michelle Maier, PA-C

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.