Active NPI
Mary Lou Jones, LCSW
- Clinical Social Worker
- Massapequa, NY
National Provider Identifier
1356480453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26445 R
- Practice address
- 627 Hicksville Rd
Massapequa, NY 11758 - Phone
- (516) 795-7785
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26445 R | NY | Primary |
Addresses
Primary practice location
627 Hicksville Rd
Massapequa, NY 11758
Mailing address
627 Hicksville Rd
Massapequa, NY 11758
Phone (516) 795-7785
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26445 R | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1356480453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 HICKSVILLE RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "11758",
"telephone_number": "516-795-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 HICKSVILLE RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "11758",
"telephone_number": "516-795-7785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MARY LOU",
"name_prefix": "Dr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "26445 R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.