Mary E Farel, LCSW
Individual provider Active NPI Clinical Social Worker · Stone Ridge, NY
NPI 1700422896 · NPPES record last updated May 6, 2020
Key facts
- NPI
- 1700422896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 088856-01 (NY)
- Practice address
- 3457 Main St
Stone Ridge, NY 12484-5612 - Phone
- (845) 943-0075
- NPI assigned
- Nov 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 26, 2022 through May 26, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088856-01 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 088856-01 | NY | Yes |
Addresses
Primary practice location
3457 Main St
Stone Ridge, NY 12484-5612
Mailing address
226 Peak Rd
Stone Ridge, NY 12484-5450
Phone (845) 943-0075
Other providers in Stone Ridge, NY
- Meghan Christine Davis
- Timothy E Deschenes
- Donaldson & Chiera, RN, Family Health NP, P.C.
- Arthur Abraham Eckstein
- Andrea Ellison
- Rise Judith Finkle
- Adrienne Frohlich
- Anthony Gaudioso
- Elizabeth M Gregory
- Timothy S Hefele
All providers in Stone Ridge, NY · Clinical Social Worker 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 May 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.