Mary Kiernan-Tighe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077466 Issued in NY

Practice address

33 Whitcock LN
Palm Coast, FL 32164-7280

Phone

(631) 903-2076

NPI assigned

Aug 25, 2006

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 FL

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

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.

• Get Off the Couch Counseling, LLC

  • Clinical Social Worker
  • Palm Coast, FL
  • NPI 1417430240
  NPD (past)
• Nurture From Within Counseling LLC

  • Clinical Social Worker
  • Palm Coast, FL
  • NPI 1811742216
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1487761276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WHITCOCK LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647280",
            "telephone_number": "631-903-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WHITCOCK LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647280",
            "telephone_number": "631-903-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNAN-TIGHE",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin R Thorpe LLC
• Amr Khalifa, MD
• Muhammad Shayan Khan, MD
• Awarish Khawaja
• Kid Spot
• Hannah Marie Kilbride
• Christine Ann Kimble, OTR
• Kindness and Clarity Counseling
• Sara Elizabeth King Kranz, MA
• Lily Michelle King, LPN

• Clinical Social Worker in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.