Active NPIIndividual provider

Mary Lerouge, LCSW PLLC

Counselor, Mental Health in Middletown, New York

NPI Number1700254349
Practice location
720 Route 17M Ste 101A, Middletown, NY 10940-4346
Fax
—
Last updated
October 14, 2021

Mary Lerouge is a Counselor, Mental Health based in Middletown, NY. Mary Lerouge practices in Middletown, NY and has the professional credentials of LCSW PLLC. The NPI Number for Mary Lerouge is 1700254349 and holds a License No. 089374 (NY). The current practice location address for Mary Lerouge is 720 Route 17M Ste 101A, Middletown, NY 10940-4346 and can be reached out via phone at 945-391-3812.

Provider Profile Details

NPI Number
1700254349
Provider Name
Mary Lerouge
Credential
LCSW PLLC
Provider Entity Type
Individual
Gender
Female
Address
720 Route 17M Ste 101A, Middletown, NY 10940-4346
Phone Number
945-391-3812
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2015
Last Update Date
October 14, 2021
Certification Date
October 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
720 Route 17M Ste 101A
Middletown, NY 10940-4346
Zip
10940-4346
Phone Number
945-391-3812
Middletown, NY 10940Get directions →

Provider Business Mailing Address Details

Address
720 Route 17M Ste 101A
Middletown, NY 10940-4346
City
Middletown
State
NY
Zip
10940-4346
Phone Number
945-391-3812

License Information

License Number
089374
License State
NY
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Mary Lerouge, LCSW PLLC?

The NPI number of Mary Lerouge, LCSW PLLC is 1700254349. It was assigned on September 14, 2015 and is currently active in the NPPES registry.

What is the specialty of Mary Lerouge, LCSW PLLC?

Mary Lerouge, LCSW PLLC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 089374.

Where does Mary Lerouge, LCSW PLLC practice?

The practice location is 720 Route 17M Ste 101A, Middletown, NY 10940-4346. The office can be reached at 945-391-3812 (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 1700254349 directly on the NPPES registry website.

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