Mary Theresa Sise, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R-039215 Issued in NY

Practice address

596 New Loudon Rd
Latham, NY 12110-4024

Phone

(518) 785-8576

NPI assigned

Feb 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Steven E Fox Inc

  • Community/Behavioral Health Agency
  • Valatie, NY
  • NPI 1982985925
  NPD (past)
• William J Feeney MD PLLC

  • Internal Medicine Physician
  • Latham, NY
  • NPI 1679565659
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1265404636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104024",
            "telephone_number": "518-785-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104024",
            "telephone_number": "518-785-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISE",
        "first_name": "MARY",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-039215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Sifflet, LMHC
• Warren Silverman, M.D.
• Silvermaple Physical Therapy PLLC
• Ashley Lynn Simmons, MA, LMHC
• John W Simon, M.D.
• Alessandra Sitterly
• Sarah A Slader-Waldorf, FNP
• Keimun A Slaughter, M.D.
• Dahea Sleicher
• Carly Smith

• Clinical Social Worker in Latham, NY
• Providers in Latham, 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 Apr 8, 2013; 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.