Mary Dufort, LCSWR

Primary specialty

Social WorkerTaxonomy code 104100000X

License

083989 Issued in NY

Practice address

435 New Karner Rd
Albany, NY 12205-3867

Phone

(518) 456-2060

NPI assigned

May 25, 2012

Last updated

Apr 27, 2022By the provider in NPPES

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

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Psychological Associates PLLCGroup PAC ID 4688908791, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Psychological Associates PLLC

  • Psychologist
  • Albany, NY
  • NPI 1447817093
  Medicare reassignment Care Compare group NPD
• Samaritan Hospital of Troy, New York

  • General Acute Care Hospital
  • Troy, NY
  • NPI 1043267727
  Medicare reassignment NPD
• Northeast Psychological Associates

  • Clinical Psychologist
  • Albany, NY
  • NPI 1275751133
  NPD (past)

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1447510292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 NEW KARNER RD STE 17",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055841",
            "telephone_number": "518-456-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053867",
            "telephone_number": "518-456-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFORT",
        "first_name": "MARY",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "083989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Robert Duero, MD
• Kiersten Duffey, LMSW
• Peter J Duffy, MD
• Duffys MDT Limosine & Taxi Service Inc
• Elizabeth Dufort, MD
• Meaghen Hennessey Duker, OTR/L
• Josephine Ann Dulak, N.P.
• Stephanie Kathleen Dulay, NP
• Camille Anne Dumas, D.O.
• Tammy Dumesnil-Carey

• Social Worker in Albany, NY
• Providers in Albany, 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 Apr 27, 2022; 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.