Active NPI
Maryclaire Conaghan, LMSW
- Social Worker
- Bayside, NY
National Provider Identifier
1497396907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 123035
- Practice address
- 3635 Bell Blvd Ste 203
Bayside, NY 11361-2097 - Phone
- (718) 830-0246
- NPI assigned
- Oct 6, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Social Worker | 104100000X | 123035 | NY | Primary |
Addresses
Primary practice location
3635 Bell Blvd Ste 203
Bayside, NY 11361-2097
Mailing address
225 Broadhollow Rd
Melville, NY 11747-4822
Phone (631) 385-7780
Other practice location 1
225 Broadhollow Rd Ste 402
Melville, NY 11747-4899
Phone (631) 385-7780
Other names 1
- Maryclaire Moley
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 |
|---|---|---|---|
| 123035 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Counseling LCSW, PLLC | Current | Accepting new patients |
Locations
3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Bayside, NY
- NPI 1982798773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1497396907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 BROADHOLLOW RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474822",
"telephone_number": "631-385-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 BELL BLVD STE 203",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612097",
"telephone_number": "718-830-0246"
}
],
"practiceLocations": [
{
"address_1": "225 Broadhollow Rd Ste 402",
"address_purpose": "LOCATION",
"city": "Melville",
"state": "NY",
"postal_code": "117474899",
"country_code": "US",
"telephone_number": "631-385-7780",
"fax_number": "631-385-7795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONAGHAN",
"first_name": "MARYCLAIRE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-06",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "123035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARYCLAIRE",
"last_name": "MOLEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.