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MRS. MARYANNE KUDLEK
NPI 1336900596
Social Worker - Clinical in Waxhaw, NC

Active since January 16, 2024PECOS Enrolled
5029 HENSHAW RD, WAXHAW, NC 28173(631) 790-5122 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Maryanne Kudlek NPPES

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

MRS. MARYANNE KUDLEK (NPI 1336900596) is an individual clinical provider in Waxhaw, North Carolina, licensed in North Carolina (16130) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336900596
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MARYANNE KUDLEK
Location Address5029 HENSHAW RDWaxhaw, NC 28173-4546
Mailing Address5029 Henshaw RdWaxhaw, NC 28173-4546 · (631) 790-5122
Phone(631) 790-5122
Sole ProprietorYes
Enumeration DateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1336900596 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 NC · 16130
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.
5029 HENSHAW RD, Waxhaw, NC 28173
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Maryanne Kudlek is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Maryanne Kudlek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
632 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, North Carolina and New York enrollments
  • 712 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 28173 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 Maryanne Kudlek's NPI number?

The NPI number for Maryanne Kudlek is 1336900596. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Where is Maryanne Kudlek located?

Maryanne Kudlek practices at 5029 Henshaw Rd, Waxhaw, NC 28173. The listed phone number is (631) 790-5122.

What is Maryanne Kudlek's specialty?

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

Is Maryanne Kudlek enrolled in Medicare?

Yes. Maryanne Kudlek is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maryanne Kudlek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryanne Kudlek reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Maryanne Kudlek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maryanne Kudlek accept?

Health plans from Cigna Healthcare list Maryanne Kudlek 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 Maryanne Kudlek was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.