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MARY ALICE SCULLY LCSW-R
NPI 1003120924
Social Worker - Clinical in Kingston, NY

Active since August 03, 2010
465 BROADWAY, KINGSTON, NY 12401(845) 340-0244 Get Directions Write a Review

NPPES record last updated: March 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Alice Scully Lcsw-r NPPES

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

MARY ALICE SCULLY LCSW-R (NPI 1003120924) is an individual clinical provider in Kingston, New York, licensed in New York (R030611-1) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1003120924
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY ALICE SCULLYCredential: LCSW-R
Location Address465 BROADWAYKingston, NY 12401-4627
Mailing Address63 Ridge DrWest Hurley, NY 12491-5625 · (518) 398-5261
Phone(845) 340-0244
Sole ProprietorYes
Enumeration DateAugust 3, 2010
Last NPPES UpdateMarch 4, 2017
✔ NPI 1003120924 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 · R030611-1
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.
465 BROADWAY, Kingston, NY 12401
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GROUPS RECOVER TOGETHER - NEW YORK LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
465 BROADWAY
KINGSTON, NY 12401
Ulster County (800) 683-8313
BRIAN PARK M.D.
Psychiatry & Neurology (Psychiatry)
465 BROADWAY
KINGSTON, NY 12401
Ulster County (845) 340-0244
KATHARINE JOHNSON LCSW-R
Social Worker
465 BROADWAY
KINGSTON, NY 12401
Ulster County (845) 340-0244
BARBARA JOHNSTON LCSW-R
Social Worker
465 BROADWAY
KINGSTON, NY 12401
Ulster County (845) 340-0244
MR. JEFF PERLS LCSWR
Social Worker
465 BROADWAY
KINGSTON, NY 12401
Ulster County (845) 340-0244
MS. REGINA F PACKARD LCSW
Social Worker (Clinical)
465 BROADWAY
KINGSTON, NY 12401
Ulster County (845) 340-0244
MS. CARMEL L GOLD LCSWR
Social Worker
465 BROADWAY
KINGSTON, NY 12401
Ulster County (845) 340-0244
BARBARA GLICK LCSW-R
Social Worker
465 BROADWAY
KINGSTON, NY 12401
Ulster County (845) 340-0244

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 Mary Alice Scully's NPI number?

The NPI number for Mary Alice Scully is 1003120924. It was assigned to this individual provider in the NPPES registry on August 3, 2010.

Where is Mary Alice Scully located?

Mary Alice Scully practices at 465 Broadway, Kingston, NY 12401. The listed phone number is (845) 340-0244.

What is Mary Alice Scully's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Alice Scully was last updated on March 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.