Mary Beth McDonough, CSWR-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R045595-1 Issued in NY

Practice address

476 Canisteo St
Hornell, NY 14843-9768

Phone

(607) 324-3580

Fax

(607) 324-3998

NPI assigned

Aug 9, 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

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Phoenix Rising Therapeutic Services LCSW PC

  • Clinical Social Worker
  • Alfred Station, NY
  • NPI 1003295395
  Medicare reassignment NPD Authorized official
• Western New York Med-Psych PLLC

  • Psychiatry Physician
  • Coudersport, PA
  • NPI 1568618353
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265442495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 14TH ST",
            "city": "ELMIRA HEIGHTS",
            "state": "NY",
            "postal_code": "149031303",
            "telephone_number": "607-734-9539",
            "fax_number": "607-734-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 CANISTEO ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148439768",
            "telephone_number": "607-324-3580",
            "fax_number": "607-324-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "MARY BETH",
        "credential": "CSWR-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R045595-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02021974",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian J Marlatt
• Amira R Martin-Saltsman, LCSW
• Amy Mayo
• Timothy S McDaniel, OD
• Colleen J. McDermott
• Lisa Marie McGowan, OTR/L
• Alicia McHale, PA
• Joseph S McKay, D.C.
• Beth Marie McNelis I
• Lori-Ann Meehan

• Clinical Social Worker in Hornell, NY
• Providers in Hornell, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.