Active NPI
Maria Benaissa, LMSW
- Social Worker
- Poughkeepsie, NY
National Provider Identifier
1922586015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 105723-1
- Practice address
- 41 Page Park Dr Ste 7
Poughkeepsie, NY 12603-7501 - Phone
- (845) 486-2950
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NY | ||
| Social Worker | 104100000X | 105723-1 | NY | Primary |
Addresses
Primary practice location
41 Page Park Dr Ste 7
Poughkeepsie, NY 12603-7501
Mailing address
41 Page Park Dr Ste 7
Poughkeepsie, NY 12603-7501
Phone (845) 486-2950
Other practice location 1
239 Golden Hill Ln
Kingston, NY 12401-6441
Phone (845) 340-4105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105723-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1922586015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 PAGE PARK DR STE 7",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126037501",
"telephone_number": "845-486-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 PAGE PARK DR STE 7",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126037501",
"telephone_number": "845-486-2950"
}
],
"practiceLocations": [
{
"address_1": "239 Golden Hill Ln",
"address_purpose": "LOCATION",
"city": "Kingston",
"state": "NY",
"postal_code": "124016441",
"country_code": "US",
"telephone_number": "845-340-4105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENAISSA",
"first_name": "MARIA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "105723-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.