Individual provider Active NPI

Stacy-Ann M Maitland, LMSW

  • Social Worker
  • Newburgh, NY
National Provider Identifier
1982433207
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
099811 Issued in NY
Practice address
263 Route 17K Ste 107a
Newburgh, NY 12550-8345
Phone
(845) 200-9230
Fax
(845) 622-3504
NPI assigned
Jul 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 099811 NY Primary

Addresses

Primary practice location

263 Route 17K Ste 107a
Newburgh, NY 12550-8345

Mailing address

7 Knollwood LN Apt 1
Poughkeepsie, NY 12603-6804
Phone (845) 380-5259

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
099811NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire to Wellness Behavioral Health, LCSW, PLLC CurrentSince Jul 28, 2024 Accepting new patients

Locations

263 Route 17K
Ste 107A
Newburgh, NY 12550
Phone (845) 200-9230

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": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1982433207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 KNOLLWOOD LN APT 1",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036804",
            "telephone_number": "845-380-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 ROUTE 17K STE 107A",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508345",
            "telephone_number": "845-200-9230",
            "fax_number": "845-622-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAITLAND",
        "first_name": "STACY-ANN",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.