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NPI Code Detail

MEDICARE: MARY ANN MCGRATH, LCSW

MEDICARE: MARY ANN MCGRATH, 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
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1942951066
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARY ANN MCGRATH, LCSW
Provider Business Mailing Address
First Line : 187 EAST DR
Second Line :
City : N MASSAPEQUA
State : NY
Zip : 11758-1609
Country : US
Telephone Number : 516-410-6679
Fax Number :
Provider Business Practice Location Address
First Line : 187 EAST DR
Second Line :
City : N MASSAPEQUA
State : NY
Zip : 11758-1609
Country : US
Telephone Number : 516-410-6679
Fax Number :
Authorized Official
Title or Position : SOCIAL WORKER
Name : MARY ANN MCGRATH
Credential : LCSW
Telephone Number : 516-410-6679
Provider Enumeration Date : 01/11/2022
Last Update Date : 01/11/2022

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Directions to “MARY ANN MCGRATH, LCSW ” Practice Location

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