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MARIA LORENA CARDONA LCSW
NPI 1194212720
Social Worker - Clinical in Valley Stream, NY

Active since April 19, 2018PECOS Enrolled
46 E MELROSE ST, VALLEY STREAM, NY 11580(516) 508-8105 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2020, Apr 19, 2018 (2 updates tracked since 2018).

About Maria Lorena Cardona Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA LORENA CARDONA LCSW (NPI 1194212720) is an individual clinical provider in Valley Stream, New York, licensed in New York (086693) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in East Meadow, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1194212720
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARIA LORENA CARDONACredential: LCSW
Location Address46 E MELROSE STValley Stream, NY 11580-4611
Mailing Address46 E Melrose StValley Stream, NY 11580-4611 · (516) 508-8105
Phone(516) 508-8105
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateApril 19, 2018
Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
✔ NPI 1194212720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 086693
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.
46 E MELROSE ST, Valley Stream, NY 11580
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Secondary Practice Location 1

Location 11500 Hempstead TpkeEast Meadow, NY 11554-1551 · Phone (516) 739-7733

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria Lorena Cardona Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264787795
PECOS Enrollment IDI20180625000191
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Maria Cardona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Epilepsy Foundation Of L.I.
5.9 mi
Voluntary or Charitable
506 STEWART AVE
Garden City, NY 11530
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Epic Long Island
  • 110 clinicians in this Medicare group
NPI 1467755785 (516) 739-7733

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11580 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Maria Cardona's NPI number?

The NPI number for Maria Cardona is 1194212720. It was assigned to this individual provider in the NPPES registry on April 19, 2018.

Where is Maria Cardona located?

Maria Cardona practices at 46 E Melrose St, Valley Stream, NY 11580. The listed phone number is (516) 508-8105.

What is Maria Cardona's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Maria Cardona enrolled in Medicare?

Yes. Maria Cardona is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maria Cardona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Cardona reassigns Medicare benefits to Epilepsy Foundation Of L.I. (Garden City, NY). The 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 Maria Cardona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Cardona accept?

Health plans from Oscar Health list Maria Cardona as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maria Cardona was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.