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MARY CARMEN VAZQUEZ LCSW
NPI 1568985729
Social Worker - Clinical in Fort Drum, NY

Active since July 19, 2017
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602(315) 772-0970 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 4, 2026, Jan 24, 2022, Jul 19, 2017 (3 updates tracked since 2017).

About Mary Carmen Vazquez Lcsw NPPES

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

MARY CARMEN VAZQUEZ LCSW (NPI 1568985729) is an individual clinical provider in Fort Drum, New York, licensed in New York (084653) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1568985729
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY CARMEN VAZQUEZCredential: LCSW
Location AddressUSA MEDDAC, 11050 MOUNT BELVEDERE BLVDFort Drum, NY 13602
Mailing Address11050 Mount Belvedere BlvdFort Drum, NY 13602-5438 · (315) 772-0970
Phone(315) 772-0970
Sole ProprietorNo
Enumeration DateJuly 19, 2017
Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1568985729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 084653
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 084653 (NY)
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X
USA MEDDAC, Fort Drum, NY 13602
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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.

BAILEY MOORHEAD BEARDSLEY DMD
Dentist (Oral and Maxillofacial Surgery)
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-8891
MR. JEFFREY MORGAN COX LICSW
Social Worker
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FT DRUM, NY 13602
Jefferson County (315) 921-9000
MR. KENNETH HERBERT THOMAS JR. CASAC, LPC
Counselor (Addiction (Substance Use Disorder))
USA MEDDAC, 11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-8801
PANITA PIPATNAWIN FNP-C
Nurse Practitioner (Family)
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 774-5356
JAMES KIM M.D.
Internal Medicine
USA MEDDAC, 11050 MT. BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2964
DR. BRIDGET MATSAS MD
Emergency Medicine
USA MEDDAC, 11050 MT. BELVEDERE BLVD.
FORT DRUM, NY 13602
Jefferson County (315) 772-0215
JUSTIN DAVID RADO PHYSICIAN ASSISTANT
Physician Assistant
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-6214
ANGELA MATTHEWS LCSW
Social Worker
USA MEDDAC, 11050 MT. BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 774-0770

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 Vazquez's NPI number?

The NPI number for Mary Vazquez is 1568985729. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Mary Vazquez located?

Mary Vazquez practices at Usa Meddac 11050 Mount Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (315) 772-0970.

What is Mary Vazquez'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 Vazquez was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.