Healthcare Provider Details

I. General information

NPI: 1851733265
Provider Name (Legal Business Name): MARIA WESTBROOK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2013
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 CEDAR LN
GLENVILLE NY
12302-5523
US

IV. Provider business mailing address

31 CEDAR LN
GLENVILLE NY
12302-5523
US

V. Phone/Fax

Practice location:
  • Phone: 518-928-5971
  • Fax:
Mailing address:
  • Phone: 518-928-5971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number087257
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: