Carly Kathryn McCollow, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

098054 Issued in NY

Practice address

144 Benton Moore Rd
Hopewell Junction, NY 12533-6368

Phone

(414) 852-8389

NPI assigned

Aug 9, 2022

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1326776352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 BENTON MOORE RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 BENTON MOORE RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336368",
            "telephone_number": "414-852-8389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Benton Moore Rd",
            "address_purpose": "LOCATION",
            "city": "Hopewell Junction",
            "state": "NY",
            "postal_code": "125336368",
            "country_code": "US",
            "telephone_number": "414-852-8389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOLLOW",
        "first_name": "CARLY",
        "middle_name": "KATHRYN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "098054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna M Martinelli
• Teresa Martino
• Denice Mateo-Delhall, LCSW
• Holly Ellen Mault, ANP, FNP
• Karen McCarthy
• Kayla McGrath
• Jon L McKenna, MPT
• John Joseph McLynn, D. C.
• Justin Mei, DPT
• Donna Meyer-Frawley

• Social Worker in Hopewell Junction, NY
• Providers in Hopewell Junction, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.