Alan Mackie, LCSW

Individual provider Active NPI Clinical Social Worker · Westtown, NY

NPI 1699788489 · NPPES record last updated Apr 20, 2019

Key facts

NPI
1699788489
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
1425 County Route 1
Westtown, NY 10998-4205
Phone
(845) 800-9079
Fax
(845) 565-0142
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Behavioral Medicine, PC Past
since Dec 16, 2010
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

1425 County Route 1
Westtown, NY 10998-4205

Mailing address

1425 County Route 1
Westtown, NY 10998-4205
Phone (845) 800-9079

Other providers in Westtown, NY

All providers in Westtown, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.