Mary M Kenny Corron, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

068351 Issued in NY

Practice address

83 E Main St
Bay Shore, NY 11706-8305

Phone

(631) 219-4975

Fax

(631) 982-7274

NPI assigned

Jun 14, 2019

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

Other names 1

• Mary Margaret Kenny Former name

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

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.

• 365 Mental Health Counseling PLLC

  • Mental Health Counselor
  • Lloyd Harbor, NY
  • NPI 1417787904
  Medicare reassignment NPD
• Mind Body and Soul Counseling LLC

  • Mental Health Counselor
  • Huntington, NY
  • NPI 1255098364
  NPD (past)

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1407416118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 JACKSON AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801810",
            "telephone_number": "631-686-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068305",
            "telephone_number": "631-219-4975",
            "fax_number": "631-982-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY CORRON",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "068351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KENNY",
            "middle_name": "MARGARET",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Colleen Mary Kelly, LMSW
• Nicholas Kelly
• Tprene J Kelly, R.N.
• Kathleen Kelpy, OT
• Darius Kennedy
• Joanne Kent-Palumbo
• Colleen Marie Kerins, DPT
• Colleen Kerrigan, MS
• Lindsey Elizabeth Kertland, MOTR/L
• Karen Riess Kessler, CPNP

• Clinical Social Worker in Bay Shore, NY
• Providers in Bay Shore, 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 Jun 14, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.