MAVERICK FAMILY COUNSELING
NPI 1104160738
Social Worker - Clinical in Woodstock, NY
About Maverick Family Counseling NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAVERICK FAMILY COUNSELING (NPI 1104160738) is a healthcare organization registered as a clinical in Woodstock, New York and active in the NPI registry since November 2012. The organization lists Thayer Case, Co-director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maverick Family Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
26Medicare enrollment records show 26 clinicians reassign Medicare billing to Maverick Family Counseling, which bills Medicare for the services they deliver. Of these, 16 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 26Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Maverick Family Counseling Lcsw PLLC's NPI number?
The NPI number for Maverick Family Counseling Lcsw PLLC is 1104160738. It was assigned to this organization in the NPPES registry on November 20, 2012. The provider is doing business as Maverick Family Counseling.
Where is Maverick Family Counseling Lcsw PLLC located?
Maverick Family Counseling Lcsw PLLC is located at 404 Zena Rd, Woodstock, NY 12498. The listed phone number is (845) 679-8650.
What is Maverick Family Counseling Lcsw PLLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Maverick Family Counseling Lcsw PLLC enrolled in Medicare?
Yes. Maverick Family Counseling Lcsw PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maverick Family Counseling Lcsw PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 3 Medicare specialties reassign their Medicare billing to Maverick Family Counseling Lcsw PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (17), Mental Health Counselor (8) and Clinical Psychologist (1). Of these, 16 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Maverick Family Counseling Lcsw PLLC was last updated on November 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Maverick Family Counseling · NPI 1104160738
Clinical organization in Woodstock, New York. Organization record, active in the CMS NPPES registry since November 20, 2012.
## Identity
- **NPI:** 1104160738 (Entity type: Organization)
- **Enumerated:** November 20, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Legal business name:** Maverick Family Counseling Lcsw Pllc
- **Organization subpart:** No
- **Authorized official:** Thayer Case, CO-DIRECTOR
## Practice location
- **Address:** 404 ZENA RD, Woodstock, NY 12498-2626
- **Phone:** (845) 679-8650 · **Fax:** (845) 679-5485
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 26 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (17), Mental Health Counselor (8), Clinical Psychologist (1); 16 practice within 10 miles; [full list](https://npiprofile.com/npi/1104160738/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1104160738) · Data from the CMS NPPES public registry.