MAVERICK FAMILY COUNSELING
NPI 1104160738
Social Worker - Clinical in Woodstock, NY

Active since November 20, 2012
404 ZENA RD, WOODSTOCK, NY 12498(845) 679-8650(845) 679-5485 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1104160738
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMAVERICK FAMILY COUNSELING LCSW PLLC
Location Address404 ZENA RDWoodstock, NY 12498-2626
Mailing Address404 Zena RdWoodstock, NY 12498-2626 · (845) 679-8650 · Fax (845) 679-5485
Fax(845) 679-5485
Organization SubpartNo
Authorized OfficialThayer CaseCo-director · (845) 679-8650
Enumeration DateNovember 20, 2012
NPI 1104160738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
404 ZENA RD, Woodstock, NY 12498

Other Names 1

Doing Business AsMaverick Family Counseling

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
404 ZENA RD
WOODSTOCK, NY 12498
Social Worker (Clinical)
404 ZENA RD
WOODSTOCK, NY 12498
Social Worker
404 ZENA RD
WOODSTOCK, NY 12498
Social Worker
404 ZENA RD
WOODSTOCK, NY 12498
Counselor (Mental Health)
404 ZENA RD
WOODSTOCK, NY 12498
Counselor (Mental Health)
404 ZENA RD
WOODSTOCK, NY 12498
Social Worker
404 ZENA RD
WOODSTOCK, NY 12498
Social Worker (Clinical)
404 ZENA RD
WOODSTOCK, NY 12498

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.

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.