Active NPIIndividual providerSole proprietor

Ms. Mary Connolly, LMSW

Behavior Analyst in Staten Island, New York

NPI Number1417283615
Practice location
92 Evergreen St, Staten Island, NY 10308-1812
Fax
—
Last updated
October 22, 2009

Mary Connolly is a Behavior Analyst based in Staten Island, NY. Mary Connolly practices in Staten Island, NY and has the professional credentials of LMSW. The NPI Number for Mary Connolly is 1417283615 and holds a License No. 6072764 (NY). The current practice location address for Mary Connolly is 92 Evergreen St, Staten Island, NY 10308-1812 and can be reached out via phone at 718-344-4981.

Provider Profile Details

NPI Number
1417283615
Provider Name
Mary Connolly
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
92 Evergreen St, Staten Island, NY 10308-1812
Phone Number
718-344-4981
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 22, 2009
Last Update Date
October 22, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
92 Evergreen St
Staten Island, NY 10308-1812
Zip
10308-1812
Phone Number
718-344-4981
Staten Island, NY 10308Get directions →

Provider Business Mailing Address Details

Address
92 Evergreen St
Staten Island, NY 10308-1812
City
Staten Island
State
NY
Zip
10308-1812
Phone Number
718-344-4981

License Information

License Number
6072764
License State
NY
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Mary Connolly, LMSW?

The NPI number of Ms. Mary Connolly, LMSW is 1417283615. It was assigned on October 22, 2009 and is currently active in the NPPES registry.

What is the specialty of Ms. Mary Connolly, LMSW?

Ms. Mary Connolly, LMSW is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NY under license number 6072764.

Where does Ms. Mary Connolly, LMSW practice?

The practice location is 92 Evergreen St, Staten Island, NY 10308-1812. The office can be reached at 718-344-4981 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417283615 directly on the NPPES registry website.

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