National Provider Identifier

Mary Beth McDonough, CSWR-R

Mary Beth McDonough, CSWR-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Hornell, NY and a listed phone number of (607) 324-3580.

NPI 1265442495Hornell, NYClinical Social Worker

Profile Overview

NPI
1265442495
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
August 09, 2006
Last Updated
July 08, 2007

Practice Location

  • 476 Canisteo St
  • Hornell, NY 14843-9768

Phone: (607) 324-3580

Mailing Address

  • 111 E 14Th St
  • Elmira Heights, NY 14903-1303

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1265442495
Entity Type
Individual
Last Name
McDonough
First Name
Mary Beth
Credential
CSWR-R
Mailing Street Address
111 E 14Th St
Mailing City
Elmira Heights
Mailing State
NY
Mailing ZIP Code
14903-1303
Mailing Country
US
Mailing Phone
(607) 734-9539
Mailing Fax
(607) 734-6293
Practice Street Address
476 Canisteo St
Practice City
Hornell
Practice State
NY
Practice ZIP Code
14843-9768
Practice Country
US
Practice Phone
(607) 324-3580
Practice Fax
(607) 324-3998
Enumeration Date
August 09, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
02021974 (NY)