MARY-BETH PETERSEN-CLEARY LCSW-R
NPI 1912955865
Social Worker - Clinical in Kenmore, NY

Q: What is Mary-beth Petersen-cleary's NPI number?

The NPI number for Mary-beth Petersen-cleary is 1912955865. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Mary-beth Petersen-cleary's specialty?

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

Active since May 04, 2006

3370 DELAWARE AVE, KENMORE, NY 14217(716) 877-8822(716) 874-5245 Get Directions Write a Review

NPPES record last updated: June 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary-beth Petersen-cleary Lcsw-r NPPES

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

MARY-BETH PETERSEN-CLEARY LCSW-R (NPI 1912955865) is an individual clinical provider in Kenmore, New York, licensed in New York (00056518) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1912955865

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY-BETH PETERSEN-CLEARYCredential: LCSW-R

Location Address3370 DELAWARE AVEKenmore, NY 14217-1425

Mailing Address741 Delaware AveBuffalo, NY 14209-2201 · (716) 218-1400 · Fax (716) 332-2820

Phone(716) 877-8822

Fax(716) 874-5245

Sole ProprietorNo

Enumeration DateMay 4, 2006

Last NPPES UpdateJune 5, 2014

✔ NPI 1912955865 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 · 00056518

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.

3370 DELAWARE AVE, Kenmore, NY 14217

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Other Identifiers 2

Other000302141501NY · Univera

Other000590325001NY · Bluecross/blueshield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 5

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

RACHEL SUZANNE MARINO LMSW

Social Worker