Mary D Hennessy, LMSW
Individual provider Active NPI Mental Health Counselor · Red Hook, NY
NPI 1508055773 · NPPES record last updated Oct 23, 2007
Key facts
- NPI
- 1508055773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 025168 (NY)
- Practice address
- 30 Benner Rd
Red Hook, NY 12571-1543 - Phone
- (845) 758-0241
- NPI assigned
- Oct 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025168 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 025168 | NY | Yes |
Addresses
Primary practice location
30 Benner Rd
Red Hook, NY 12571-1543
Mailing address
34 Teator LN
Red Hook, NY 12571-2389
Phone (845) 758-0241
Other providers in Red Hook, NY
- Samantha Hanback
- Theresa M. Haney
- Mark Edward Hannan
- Sharnetta Harrigan
- Debra W. Heath
- Emily Herendeen
- High Ridge Traditional Healing Arts
- Rufus Howe
- Hudson ENT, P.C.
- Hudson Valley Foot Associates, LLP
All providers in Red Hook, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.