MEDICARE: MR. PAUL ROBERT MAURO LCSW, CASAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	7393	NY
2	1041C0700X	Clinical Social Worker	R049245	NY

General Provider Information

NPI Number	:	1427148444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAUL ROBERT MAURO LCSW, CASAC

Provider Business Mailing Address
First Line	:	25 NEPTUNE BLVD
Second Line	:	SUITE 9P
City	:	LONG BEACH
State	:	NY
Zip	:	11561-4651
Country	:	US
Telephone Number	:	516-532-6213
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 NEPTUNE BLVD
Second Line	:	SUITE 9P
City	:	LONG BEACH
State	:	NY
Zip	:	11561-4651
Country	:	US
Telephone Number	:	516-532-6213
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	09/11/2025

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