National Provider Identifier

Maria Pena

Maria Pena is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 274-6333.

NPI 1013185032Ithaca, NYClinical Social Worker

Profile Overview

NPI
1013185032
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 12, 2008
Last Updated
February 25, 2021

Practice Location

  • 201 East Green St
  • Ithaca, NY 14850

Phone: (607) 274-6333

Specialties

  • Clinical Social Worker (1041C0700X)
  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1013185032
Entity Type
Individual
Last Name
Pena
First Name
Maria
Mailing Street Address
201 East Green St
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850
Mailing Country
US
Mailing Phone
(607) 274-6333
Mailing Fax
(607) 274-6316
Practice Street Address
201 East Green St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850
Practice Country
US
Practice Phone
(607) 274-6333
Practice Fax
(607) 274-6316
Enumeration Date
February 12, 2008
Last Updated
February 25, 2021
Sex
Female
Sole Proprietor
No
Certification Date
February 25, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Case Manager/Care Coordinator (171M00000X)