MS. MARYAM KHANSARI LCSW
NPI 1194856526
Social Worker - Clinical in Bronx, NY

Active since March 08, 2007Opted out of Medicare · through Dec 21, 2027
2021 GRAND CONCOURSE, BRONX, NY 10453(717) 960-0313 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Maryam Khansari Lcsw NPPES

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

MS. MARYAM KHANSARI LCSW (NPI 1194856526) is an individual clinical provider in Bronx, New York, licensed in New York (R052749-1) and active in the NPI registry since March 2007. She has opted out of Medicare through December 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194856526
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARYAM KHANSARICredential: LCSW
Location Address2021 GRAND CONCOURSEBronx, NY 10453-4304
Mailing Address250 S End Ave Apt 6hNew York, NY 10280-1076 · (212) 566-5780
Sole ProprietorNo
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1194856526 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 · R052749-1
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.

2021 GRAND CONCOURSE, Bronx, NY 10453

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Maryam Khansari Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 21, 2017 through December 21, 2027.

Opt-Out Effective DateDecember 21, 2017
Opt-Out In Effect ThroughDecember 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 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.

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)
2021 GRAND CONCOURSE
BRONX, NY 10453
Family Medicine
2021 GRAND CONCOURSE
BRONX, NY 10453
Social Worker
2021 GRAND CONCOURSE, 7TH FLOOR
BRONX, NY 10453
Pharmacy (Community/Retail Pharmacy)
2021 GRAND CONCOURSE
BRONX, NY 10453
Social Worker
2021 GRAND CONCOURSE, 7TH FLOOR
BRONX, NY 10453
Social Worker (Clinical)
2021 GRAND CONCOURSE, 6TH FLOOR
BRONX, NY 10453
Case Manager/Care Coordinator
2021 GRAND CONCOURSE, 6TH FLOOR
BRONX, NY 10453
Social Worker (Clinical)
2021 GRAND CONCOURSE, 8TH FLOOR
BRONX, NY 10453

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 Maryam Khansari's NPI number?

The NPI number for Maryam Khansari is 1194856526. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Maryam Khansari located?

Maryam Khansari practices at 2021 Grand Concourse, Bronx, NY 10453. The listed phone number is (717) 960-0313.

What is Maryam Khansari's specialty?

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

Is Maryam Khansari enrolled in Medicare?

No. Maryam Khansari has opted out of Medicare through December 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Maryam Khansari was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.