MARY ANDERSON LCSW PC
NPI 1508955022
Social Worker - Clinical in Bayport, NY

Active since October 12, 2006
9 BAYWOOD LN, BAYPORT, NY 11705(631) 941-9494(631) 941-9494 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Anderson Lcsw Pc NPPES

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

MARY ANDERSON LCSW PC (NPI 1508955022) is a healthcare organization registered as a clinical in Bayport, New York and active in the NPI registry since October 2006. The organization lists Mary Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1508955022
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMARY ANDERSON LCSW PC
Location Address9 BAYWOOD LNBayport, NY 11705-1727
Mailing Address9 Baywood LnBayport, NY 11705-1727 · (631) 941-9494 · Fax (631) 941-9494
Fax(631) 941-9494
Organization SubpartNo
Authorized OfficialMary AndersonOwner · (631) 941-9494
Enumeration DateOctober 12, 2006
Last NPPES UpdateJune 8, 2022
NPPES CertifiedJune 8, 2022
NPI 1508955022 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 · R0505421
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.
9 BAYWOOD LN, Bayport, NY 11705

Other Identifiers 1

Medicaid61020463081NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
9 BAYWOOD LN
BAYPORT, NY 11705
Social Worker (Clinical)
9 BAYWOOD LN
BAYPORT, NY 11705

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 Anderson Lcsw PC's NPI number?

The NPI number for Mary Anderson Lcsw PC is 1508955022. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Mary Anderson Lcsw PC located?

Mary Anderson Lcsw PC is located at 9 Baywood Ln, Bayport, NY 11705. The listed phone number is (631) 941-9494.

What is Mary Anderson Lcsw PC'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 Anderson Lcsw PC was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.