Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maia Khubashvili

Individual provider Clinical Social Worker · NPI 1982961033

Maia Khubashvili is a Clinical Social Worker in Brooklyn, New York. Qualified in 2011, 15 years ago. Practices with St Mark's Place Institute for Mental Health Inc, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2012
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Practice location Address checks out

66 Boerum Pl
Brooklyn, NY 11201-5705
Phone: (718) 522-6011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 084708-1 (NY)

Record details

NPI number1982961033
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2012
Last updated in NPPESApril 13, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Mark'S Place Institute For Mental Health Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Brooklyn