Individual provider Active NPI

Mary T Denning, LCSW

  • Clinical Social Worker
  • Farmingdale, NY
National Provider Identifier
1174999437
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087201 Issued in NY
Practice address
1111 Broadhollow Rd
Suite 204
Farmingdale, NY 11735-4820
Phone
(631) 741-7719
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 087201 NY Primary

Addresses

Primary practice location

1111 Broadhollow Rd
Suite 204
Farmingdale, NY 11735-4820

Mailing address

22 Parsons Dr
Stony Brook, NY 11790-2615
Phone (631) 921-9138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221228001396 NY Practitioner - Clinical Social Worker 0143690693 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087201NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Knapp Street Psychiatry, PC Clinical CurrentSince Nov 11, 2022 Accepting new patients
Wellqor Psychological Services Northeast, PC Clinical CurrentSince Sep 25, 2025 Accepting new patients
Che Senior Psychological Services, PC Clinical CurrentSince Nov 11, 2022 Accepting new patients
Aldad Medical PC CurrentSince Jul 1, 2023 Accepting new patients

Locations

90 West Ave
Brockport, NY 14420
Phone (585) 391-0235

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440

100 Park Ave
Fl 16
New York, NY 10017
Phone (212) 433-2384

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

75 S Clinton Ave
Ste 510
Rochester, NY 14604
Phone (212) 970-2273

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1174999437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PARSONS DR",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902615",
            "telephone_number": "631-921-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BROADHOLLOW RD",
            "address_2": "SUITE 204",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354820",
            "telephone_number": "631-741-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNING",
        "first_name": "MARY",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

Verify at the official NPI Registry.