Individual provider Active NPI

Mary Emily Thrall, M.S.W.

  • School Social Worker
  • Woodbury, NY
National Provider Identifier
1164705927
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
037557-1 Issued in NY
Practice address
280 Crossways Park Dr
Woodbury, NY 11797-2015
Phone
(516) 938-1784
Fax
(516) 938-1790
NPI assigned
Sep 27, 2011
Last updated
Sep 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 037557-1 NY Primary

Addresses

Primary practice location

280 Crossways Park Dr
Woodbury, NY 11797-2015

Mailing address

280 Crossways Park Drive
Woodbury, NY 11797-2015
Phone (516) 938-1784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
037557-1NYMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1164705927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CROSSWAYS PARK DRIVE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972015",
            "telephone_number": "516-938-1784",
            "fax_number": "516-938-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CROSSWAYS PARK DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972015",
            "telephone_number": "516-938-1784",
            "fax_number": "516-938-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRALL",
        "first_name": "MARY",
        "middle_name": "EMILY",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "037557-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.