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MARA ANN KENT-LICARDI LCSWR
NPI 1518188952
Social Worker - Clinical in Middletown, NY

Active since May 02, 2007Opted out of Medicare · through Jul 6, 2027
200 MIDWAY PARK DR, MIDDLETOWN, NY 10940(845) 343-7274(845) 343-4545 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mara Ann Kent-licardi Lcswr NPPES

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

MARA ANN KENT-LICARDI LCSWR (NPI 1518188952) is an individual clinical provider in Middletown, New York, licensed in New York (R074102-1) and active in the NPI registry since May 2007. She has opted out of Medicare through July 6, 2027.

NPPES Registry Identity

NPI1518188952
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARA ANN KENT-LICARDICredential: LCSWR
Location Address200 MIDWAY PARK DRMiddletown, NY 10940-2642
Mailing AddressPo Box 1222Pine Bush, NY 12566-1222 · (914) 805-7677
Phone(845) 343-7274
Fax(845) 343-4545
Sole ProprietorYes
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518188952 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 · R074102-1
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.
200 MIDWAY PARK DR, Middletown, NY 10940
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mara Ann Kent-licardi Lcswr has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 6, 2023 through July 6, 2027.

Opt-Out Effective DateJuly 6, 2023
Opt-Out In Effect ThroughJuly 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

JOHN T SLOMA, LCSW, PC
Social Worker (Clinical)
200 MIDWAY PARK DR, SUITE 4
MIDDLETOWN, NY 10940
Orange County (845) 341-1134
MR. GEORGE H BROWN LCSW
Social Worker (Clinical)
200 MIDWAY PARK DR
MIDDLETOWN, NY 10940
Orange County (845) 742-1316
SORIA SIDIQI
Speech-Language Pathologist
200 MIDWAY PARK DR
MIDDLETOWN, NY 10940
Orange County (845) 341-0666
LAURA SUE NIZEWITZ
Social Worker (Clinical)
200 MIDWAY PARK DR, SUITE 1 WEST
MIDDLETOWN, NY 10940
Orange County (845) 343-7274
DR. JACK R NIZEWITZ O.D.
Optometrist
200 MIDWAY PARK DR
MIDDLETOWN, NY 10940
Orange County (845) 343-6919
NANCY HANNAH DAVIS-KESSLER
Social Worker (Clinical)
200 MIDWAY PARK DR, SUITE 1
MIDDLETOWN, NY 10940
Orange County (845) 341-1134
MRS. ROBIN MELASKY SLOMA LCSW,LSSW
Social Worker (Clinical)
200 MIDWAY PARK DR
MIDDLETOWN, NY 10940
Orange County (845) 986-0298
DR. GARY J LAKE O.D.
Optometrist
200 MIDWAY PARK DR
MIDDLETOWN, NY 10940
Orange County (845) 343-6919

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 Mara Kent-licardi's NPI number?

The NPI number for Mara Kent-licardi is 1518188952. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Mara Kent-licardi located?

Mara Kent-licardi practices at 200 Midway Park Dr, Middletown, NY 10940. The listed phone number is (845) 343-7274.

What is Mara Kent-licardi's specialty?

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

Is Mara Kent-licardi enrolled in Medicare?

No. Mara Kent-licardi has opted out of Medicare through July 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mara Kent-licardi 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.