MS. MARIE MCHUGH LCSW
NPI 1295947711
Social Worker - Clinical in New York, NY

Active since May 04, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
19 WEST 34TH STREET, NEW YORK, NY 10001(212) 947-7111 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Marie Mchugh Lcsw NPPES

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

MS. MARIE MCHUGH LCSW (NPI 1295947711) is an individual clinical provider in New York, New York, licensed in New York (0737131) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1295947711
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARIE MCHUGHCredential: LCSW
Location Address19 WEST 34TH STREETNew York, NY 10001-0000
Mailing Address7 Delaware StreetHuntington, NY 11743-3640 · (212) 947-7111
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295947711 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 · 0737131
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.
19 WEST 34TH STREET, New York, NY 10001

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Marie Mchugh Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779971965
PECOS Enrollment IDI20211020001422
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 Reassignments

2

Medicare enrollment records show Marie Mchugh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
14415 68TH RD
Flushing, NY 11367
  • Reassigned Medicare billing, New York enrollment
  • 131 clinicians in this Medicare group
Clinical
496 SMITHTOWN BYP STE 311
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
655 services62 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 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 $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.2
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Psychologist
19 WEST 34TH STREET, PH LEVEL 13TH FLOOR
NEW YORK, NY 10001
Social Worker (Clinical)
19 WEST 34TH STREET
NEW YORK, NY 10001
Social Worker (Clinical)
19 WEST 34TH STREET, PH
NEW YORK CITY, NY 10001
Social Worker
19 WEST 34TH STREET, PENTHOUSE 13TH FLOOR
NEW YORK, NY 10001
Social Worker (Clinical)
19 WEST 34TH STREET, PENTHOUSE
NEW YORK, NY 10001
Psychologist (Clinical)
19 WEST 34TH STREET, PENTHOUSE
NEW YORK, NY 10001
Psychologist
19 WEST 34TH STREET, PH
NEW YORK CITY, NY 10001
Social Worker (Clinical)
19 WEST 34TH STREET
NEW YORK, NY 10001

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 Marie Mchugh's NPI number?

The NPI number for Marie Mchugh is 1295947711. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Marie Mchugh located?

Marie Mchugh practices at 19 West 34th Street, New York, NY 10001. The listed phone number is (212) 947-7111.

What is Marie Mchugh's specialty?

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

Is Marie Mchugh enrolled in Medicare?

Yes. Marie Mchugh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marie Mchugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie Mchugh reassigns Medicare benefits to 2 organizations: Senior Care Therapy Lcsw Of New York PLLC (Flushing, NY) and The Freedman-Cuttler Group Of Clinical Social Workers, PLLC (Smithtown, NY). Each 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 Marie Mchugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marie Mchugh accept?

Health plans from Oscar Health list Marie Mchugh 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 Marie Mchugh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.