Patricia Susan McNulty, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

095576 Issued in NY

Practice address

316 Homewood Dr
Fayetteville, NY 13066-1220

Phone

(315) 256-0856

NPI assigned

Sep 6, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1033768650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHEVY DR # 1037",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572986",
            "telephone_number": "315-256-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 HOMEWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661220",
            "telephone_number": "315-256-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "PATRICIA",
        "middle_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "106862",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0678672",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095576-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Errol S McKenzie, MD
• Francis P McKevitt, DDS
• Dennis John McKillop, PH.D.
• Kristen Ann McNamara, MD.
• Elizabeth Humphrey McNany, MD.
• Medical Weight Loss of New York, PLLC
• Rebecca Julia Migenes, MSW
• James W Mikesell, PH.D.
• Michelle Judith Militi, LMHC
• Maryann Elizabeth Millar, MD

• Clinical Social Worker in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.