Individual provider Active NPI

Maria Benaissa, LMSW

  • Social Worker
  • Poughkeepsie, NY
National Provider Identifier
1922586015
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
105723-1 Issued in NY
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

Updated by the provider on Jun 17, 2021

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 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

LicenseStateTypeSpecialty
105723-1NYMDSocial 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.

Verify at the official NPI Registry.