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NPI Code Detail

MEDICARE: MS. DELORES J MURPHY CASSIDY LCSW

MEDICARE: MS. DELORES J MURPHY CASSIDY LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker035002NY

General Provider Information

NPI Number : 1477678761
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DELORES J MURPHY CASSIDY LCSW
Provider Business Mailing Address
First Line : 6836 108TH ST APT B42
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-3393
Country : US
Telephone Number : 910-603-3189
Fax Number :
Provider Business Practice Location Address
First Line : 10326 68TH RD
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-3200
Country : US
Telephone Number : 718-261-3330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 10/21/2025

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