Maryanne Munnelly, CSW, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARYANNE MUNNELLY, CSW, PC

Practice address

53 Arrowhead LN
East Setauket, NY 11733-3314

Phone

(631) 476-7141

Fax

(631) 476-7665

NPI assigned

Jan 7, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maryanne Munnelly, LCSW

Title

President

Phone

(631) 476-7141

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1659518009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 ARROWHEAD LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333314",
            "telephone_number": "631-476-7141",
            "fax_number": "631-476-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 ARROWHEAD LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333314",
            "telephone_number": "631-476-7141",
            "fax_number": "631-476-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYANNE MUNNELLY, CSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "MUNNELLY",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-476-7141",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Marotta
• Carol Ann Martin, NP
• Jeanne Martin, N.P.
• Jillian Martin
• Angelo Marullo
• Maryta Marzano, NP
• Dana Hope Masand
• Stephanie Mason, RPA-C
• Kimberly Massi
• Ruby Masson, RPH

• Clinical Social Worker in East Setauket, NY
• Providers in East Setauket, 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 Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.