Michael McDonough, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

032070-1 Issued in NY

Practice address

31 E Montauk Hwy
Hampton Bays, NY 11946-1816

Phone

(631) 723-3362

Fax

(631) 723-3365

NPI assigned

Jul 16, 2010

Last updated

Jul 16, 2010By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Catholic Charities of the Diocese of Rockville Centre

  • Community/Behavioral Health Agency
  • Hampton Bays, NY
  • NPI 1164555140
  NPD (past)
• Catholic Charities of the Diocese of Rockville Centre

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Freeport, NY
  • NPI 1831110972
  NPD (past)

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1407169683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 WILSHIRE LN",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691449",
            "telephone_number": "631-723-3362",
            "fax_number": "631-723-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119461816",
            "telephone_number": "631-723-3362",
            "fax_number": "631-723-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "MICHAEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "032070-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "032070-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zofia Malisiewicz, PHARMACIST
• Mark G. Creighton, MD PC
• Jacqueline Mauro, MS, NCSP
• Melissa Mayer, PT, D.P.T
• Kathleen McCabe
• Mary Jean McKeveny, RN, MS
• Diane McMahon, R.N.
• Lauren McNamara, LCSW
• Alice Mei, DO
• Carly Mendoza, FNP

• Social Worker in Hampton Bays, NY
• Providers in Hampton Bays, 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 Jul 16, 2010; 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.