Individual provider Active NPI

Maja Jirina Herciuk, LCSW

  • Clinical Social Worker
  • Pensacola, FL
National Provider Identifier
1972492833
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23993 Issued in FL
Practice address
1900 Summit Blvd
Pensacola, FL 32503-3359
Phone
(731) 435-6158
NPI assigned
Jul 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 23993 FL Primary

Addresses

Primary practice location

1900 Summit Blvd
Pensacola, FL 32503-3359

Mailing address

5609 Whispering Woods Dr.
Pace, FL 32571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250917003446 FL Practitioner - Clinical Social Worker 2163926718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

1717 W Avery St
Pensacola, FL 32501-1811
Phone (850) 434-2355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23993FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care PLLC Clinical CurrentSince Aug 1, 2025 Accepting new patients

Locations

1717 W Avery St
Pensacola, FL 32501
Phone (850) 434-2355

832 Sunset Lake Blvd
Venice, FL 34292
Phone (217) 369-4168

2045 W Grand Ave
Ste B28354
Chicago, IL 60612

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

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": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1972492833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 WHISPERING WOODS DR.",
            "city": "PACE",
            "state": "FL",
            "postal_code": "32571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SUMMIT BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325033359",
            "telephone_number": "731-435-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERCIUK",
        "first_name": "MAJA",
        "middle_name": "JIRINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "23993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.